NPIMap

Organization Active NPI

Prince George's County Health Dept

Doing business as Youth and Community Services Program

  • Public Health or Welfare Agency
  • Largo, MD
National Provider Identifier
1932245883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
903170 Issued in MD
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPT
Doing business as
Youth and Community Services Program
Practice address
1801 McCormick Dr Ste 250
Largo, MD 20774-5370
Phone
(301) 583-0366
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George Michael Kolarik, DCSW-C
Title
Program Chief
Phone
(301) 883-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 903170 MD Primary

Addresses

Primary practice location

1801 McCormick Dr Ste 250
Largo, MD 20774-5370

Mailing address

1801 McCormick Dr Ste 250
Largo, MD 20774-5370
Phone (301) 583-0366

Other names 1

  • Youth and Community Services Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prince Georges County Health Dept48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations

1801 McCormick Dr
Ste 250
Largo, MD 20774
Phone (301) 583-0366

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932245883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MCCORMICK DR STE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745370",
            "telephone_number": "301-583-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MCCORMICK DR STE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745370",
            "telephone_number": "301-583-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLARIK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM CHIEF",
        "authorized_official_telephone_number": "301-883-3510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DCSW-C"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "903170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth and Community Services Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.