NPIMap

Organization Active NPI

Kennedy Krieger Education and Community Services, Inc.

  • Developmental Disabilities Clinic/Center
  • Harwood, MD
National Provider Identifier
1992977904
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
30-036 Issued in MD
Legal business name
KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES, INC.
Practice address
4400 Solomons Island Rd.
Anne Arundel II Southern School
Harwood, MD 20776
Phone
(410) 235-4801
Fax
(443) 923-9405
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Mr. Mike J Neuman
Title
Vice President Finance
Phone
(443) 923-1810

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X MH
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X MD
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X MD
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X MD
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X MD
Developmental Disabilities Clinic/Center 261QD1600X 30-036 MD Primary

Addresses

Primary practice location

4400 Solomons Island Rd.
Anne Arundel II Southern School
Harwood, MD 20776

Mailing address

P.O. Box 744865
Atlanta, GA 30374
Phone (443) 923-1886

Other identifiers 1

IdentifierTypeStateIssuer
1754815 07MedicaidMD

Other names 1

  • Kennedy Krieger School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Krieger Education and Community Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

4400 Solomons Island Rd
Harwood, MD 20776
Phone (410) 235-4801

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1992977904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 744865",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30374",
            "telephone_number": "443-923-1886",
            "fax_number": "443-923-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SOLOMONS ISLAND RD.",
            "address_2": "ANNE ARUNDEL II SOUTHERN SCHOOL",
            "city": "HARWOOD",
            "state": "MD",
            "postal_code": "20776",
            "telephone_number": "410-235-4801",
            "fax_number": "443-923-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "443-923-1810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "MH",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MD",
            "license": "30-036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754815 07",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Krieger School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennedy Krieger School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.