NPIMap

Organization Active NPI

Pastoral Family Counseling Associates LLC

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1992088801
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1078 Issued in MD
Legal business name
PASTORAL FAMILY COUNSELING ASSOCIATES LLC
Practice address
13925 New Hampshire Ave.
Silver Spring, MD 20904
Phone
(301) 622-1714
Fax
(301) 684-4221
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Dr. John Joseph Dalton, PH.DNPI 1225252299
Title
President
Phone
(301) 622-1714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1078 MD Primary

Addresses

Primary practice location

13925 New Hampshire Ave.
Silver Spring, MD 20904

Mailing address

15113 Centergate Drive
Silver Spring, MD 20905
Phone (301) 622-1714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230728001392 DC Part B Supplier - Clinic/Group Practice 0749641306 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

13925 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 844-2552

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1992088801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15113 CENTERGATE DRIVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20905",
            "telephone_number": "301-622-1714",
            "fax_number": "301-384-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 NEW HAMPSHIRE AVE.",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-622-1714",
            "fax_number": "301-684-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL FAMILY COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-622-1714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.