COMMUNITY THERAPEUTIC CENTERINC NPI 1417416694

NPI Information

  • NPI: 1417416694
  • Provider Name: COMMUNITY THERAPEUTIC CENTER,INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 8181 PROFESSIONAL PL STE 213
    HYATTSVILLE, MD
    ZIP 20785
  • Phone: (240) 764-5133

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NPI Details

COMMUNITY THERAPEUTIC CENTER,INC is a mental health (including community mental health center) clinic center in Hyattsville, MD. COMMUNITY THERAPEUTIC CENTER,INC NPI is 1417416694. The provider is registered as an organization entity type.

The provider's business location address is:

8181 PROFESSIONAL PL STE 213
HYATTSVILLE, MD
ZIP 20785-232
Phone: (240) 764-5133
Fax: (240) 764-7477

The provider's authorized official is Emmanuel O Owooje .
The authorized official title is President and has the following contact phone number (240) 764-5133.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QM2500XClinic/CenterMedical SpecialtyNo
6385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11900222600MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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