NPIMap

Organization Active NPI

Adolescent and Family Services/Addictions

  • Clinic/Center
  • Annapolis, MD
National Provider Identifier
1902175128
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
904875 Issued in MD
Legal business name
ADOLESCENT AND FAMILY SERVICES/ADDICTIONS
Practice address
3 Harry S Truman Pkwy
HD#19
Annapolis, MD 21401-7031
Phone
(410) 222-7135
Fax
(410) 222-4173
NPI assigned
Dec 16, 2011
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy Laureska
Title
Deputy Health Officer/Operations
Phone
(410) 222-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 904875 MD Primary

Addresses

Primary practice location

3 Harry S Truman Pkwy
HD#19
Annapolis, MD 21401-7031

Mailing address

122 Langley Rd N
Ste a
Glen Burnie, MD 21060-6531
Phone (410) 222-6725

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Cty29 organizations share this tax ID, including this one
Part of
Anne Arundel Cty

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1902175128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "address_2": "STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-6725",
            "fax_number": "410-222-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HARRY S TRUMAN PKWY",
            "address_2": "HD#19",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017031",
            "telephone_number": "410-222-7135",
            "fax_number": "410-222-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT AND FAMILY SERVICES/ADDICTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNE ARUNDEL COUNTY DEPT. OF HEALTH",
        "enumeration_date": "2011-12-16",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "LAURESKA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DEPUTY HEALTH OFFICER/OPERATIONS",
        "authorized_official_telephone_number": "410-222-7377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "904875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.