OUTREACH RECOVERY II – NPI #1205447679
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

OUTREACH RECOVERY II is a provider located in SEAFORD, DE. NPPES has assigned the NPI number 1205447679 to OUTREACH RECOVERY II on August 11, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Jun 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OUTREACH RECOVERY II below.

NPI Profile for
OUTREACH RECOVERY II

NPI Number
1205447679
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUTREACH RECOVERY II
Primary location
808 MIDDLEFORD RD
SEAFORD, DE 19973-3650
Phone: (410) 800-4466 Fax:
Mailing address
4201 NORTHVIEW DR STE 104
BOWIE, MD 20716-2655
Phone: (410) 800-4466 Fax: (410) 705-5024
Organization Subpart
No
Authorized Official
ISIAH COLES
COO
Phone: (561) 502-3978
Updated
Certification Date
Jun 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for OUTREACH RECOVERY II

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMAIN NPI NUMBER1427541838
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
www.therapynotes.com
Endpoint type
CONNECT URL
Endpoint Description
EMR
Content Type
CSV
Affiliation
N
Endpoint Location
1007 N ORANGE ST FL 4,
WILMINGTON, DE 77025-1669