Fields and Fields Treatment Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1639 Issued in MD

Legal business name

FIELDS AND FIELDS TREATMENT CENTER LLC

Practice address

1450 Mercantile LN Ste 221
Largo, MD 20774-5376

Phone

(240) 788-6125

Fax

(240) 788-6156

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Clifford E Fields Sr.

Title

Chief Executive Officer

Phone

(240) 788-6125

Specialties & licenses 2

Addresses

Tax ID family

Fields and Fields Treatment Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Fields and Fields Treatment Center LLC

  • Substance Abuse Rehabilitation Facility
  • Largo, MD
  • NPI 1174752984
  NPD tax ID
• Fields and Fields Treatment Center, LLC

  • Counselor
  • Largo, MD
  • NPI 1609280338
  NPD tax ID

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1902275449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13602 GENTRY CT",
            "city": "MONTPELIER",
            "state": "MD",
            "postal_code": "207081330",
            "telephone_number": "240-788-6125",
            "fax_number": "240-788-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN STE 221",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745376",
            "telephone_number": "240-788-6125",
            "fax_number": "240-788-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS AND FIELDS TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-788-6125",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "1639",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "1639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantel Farrar, BCBA
• Dylan Henry Fearing
• Sayed Mohammad Milad Fekrat, MD
• Robert A Ferris, MD
• Fields and Fields Treatment Center LLC
• Fields and Fields Treatment Center, LLC
• Richard A. Fiero, M.D.
• Dawn Fisher, RN
• Shane Fitchett, LGSW
• Nancy Fleurancois, MD

• Adult Mental Health Clinic/Center in Largo, MD
• Providers in Largo, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.