NPIMap

Organization Active NPI

Barstow Acres Children Center

  • Mental Health Counselor
  • Prince Frederick, MD
National Provider Identifier
1942533773
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R071676 Issued in MD
Legal business name
BARSTOW ACRES CHILDREN CENTER
Practice address
590 Main St
Prince Frederick, MD 20678-3346
Phone
(410) 414-9901
Fax
(410) 414-9902
NPI assigned
Sep 11, 2009
Organization subpart
Yes
Parent organization
BARSTOW ACRES CHILDREN CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Sonia Delicia Hinds, APRN-BC
Title
Director
Phone
(410) 414-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X R071676 MD Primary

Addresses

Primary practice location

590 Main St
Prince Frederick, MD 20678-3346

Mailing address

590 Main St
Prince Frederick, MD 20678-3346
Phone (410) 414-9901

Other identifiers 1

IdentifierTypeStateIssuer
417174800MedicaidMD

Other names 1

  • psychiatric rehabiliation program Other name

National Provider Directory

National Provider Directory
Tax ID family
Barstow Acres Children Center3 organizations share this tax ID, including this one
Part of
Barstow Acres Children Center

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1942533773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MAIN ST",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783346",
            "telephone_number": "410-414-9901",
            "fax_number": "410-414-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MAIN ST",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783346",
            "telephone_number": "410-414-9901",
            "fax_number": "410-414-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARSTOW ACRES CHILDREN CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARSTOW ACRES CHILDREN CENTER",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "HINDS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "DELICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-414-9901",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "R071676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417174800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "psychiatric rehabiliation program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.