Active NPI
Christian Counseling Center of Annapolis, Inc
- Psychiatry Physician
- Annapolis, MD
National Provider Identifier
1942587662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CHRISTIAN COUNSELING CENTER OF ANNAPOLIS, INC
- Practice address
- 108 Old Solomons Island Rd
Annapolis, MD 21401-3845 - Phone
- (410) 266-8345
- Fax
- (410) 266-6278
- NPI assigned
- Nov 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sabrina Ann Mackall
- Title
- Administrative Assistant
- Phone
- (410) 266-8345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
108 Old Solomons Island Rd
Annapolis, MD 21401-3845
Mailing address
108 Old Solomons Island Rd
Annapolis, MD 21401-3845
Phone (410) 266-8345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522901400 | Medicaid | MD | |
| S166 | Other | MD | MEDICARE - UNSPECIFIED TYPE |
National Provider Directory
National Provider Directory- Tax ID family
- Christian Counseling Center of Annapolis Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Annapolis, MD
- NPI 1629083357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320796800000",
"number": "1942587662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OLD SOLOMONS ISLAND RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013845",
"telephone_number": "410-266-8345",
"fax_number": "410-266-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OLD SOLOMONS ISLAND RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013845",
"telephone_number": "410-266-8345",
"fax_number": "410-266-6278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN COUNSELING CENTER OF ANNAPOLIS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-09",
"last_updated": "2011-11-09",
"status": "A",
"authorized_official_last_name": "MACKALL",
"authorized_official_first_name": "SABRINA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "410-266-8345",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522901400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - UNSPECIFIED TYPE",
"identifier": "S166",
"state": "MD"
}
],
"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 Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.