NPIMap

Organization Active NPI

Innovative Concepts, Inc.

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1942695895
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
INNOVATIVE CONCEPTS, INC.
Practice address
1325 G St NW
Suite 500
Washington, DC 20005-3104
Phone
(301) 440-7908
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Lawrence Slaughter Jr.
Title
Executive Director
Phone
(301) 440-7908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X MD

Addresses

Primary practice location

1325 G St NW
Suite 500
Washington, DC 20005-3104

Mailing address

8639B 16TH St
Suite D
Silver Spring, MD 20910-2273
Phone (301) 440-7908

National Provider Directory

National Provider Directory

Locations

8639B 16th St
Ste D
Silver Spring, MD 20910

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942695895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639B 16TH ST",
            "address_2": "SUITE D",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102273",
            "telephone_number": "301-440-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 G ST NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053104",
            "telephone_number": "301-440-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-440-7908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.