Active NPI
Asian Indians for Community Service
- Community/Behavioral Health Agency
- Rockville, MD
National Provider Identifier
1972126928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ASIAN INDIANS FOR COMMUNITY SERVICE
- Practice address
- 15800 Crabbs Branch Way Ste 300
Rockville, MD 20855-2685 - Phone
- (301) 318-8056
- NPI assigned
- May 26, 2020
- 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
- Sam Mukherjee, PH.D
- Title
- Executive Director
- Phone
- (301) 318-8056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
15800 Crabbs Branch Way Ste 300
Rockville, MD 20855-2685
Mailing address
15800 Crabbs Branch Way Ste 300
Rockville, MD 20855-2685
Phone (301) 318-8056
Other names 1
- Asian American Inter Community Service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590451200000",
"number": "1972126928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15800 CRABBS BRANCH WAY STE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552685",
"telephone_number": "301-318-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 CRABBS BRANCH WAY STE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552685",
"telephone_number": "301-318-8056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASIAN INDIANS FOR COMMUNITY SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A",
"authorized_official_last_name": "MUKHERJEE",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "301-318-8056",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Asian American Inter Community Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.