OUTREACH RECOVERY II – NPI #1366022683
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.

Health Care Provider Taxonomy Code for Internal Medicine

OUTREACH RECOVERY II is a provider located in PRINCE FREDERICK, MD. NPPES has assigned the NPI number 1366022683 to OUTREACH RECOVERY II on April 12, 2021. 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 last updated on Jul 31, 2024. 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
1366022683
Enumeration Date

(more than 5 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
110 HOSPITAL RD STE 306
PRINCE FREDERICK, MD 20678-4046
Phone: (410) 800-4466 Fax:
Mailing address
14205 PARK CENTER DR # 201202
LAUREL, MD 20707-5246
Phone: (410) 800-4466 Fax:
Organization Subpart
No
Authorized Official
ISIAH COLES
COO
Phone: (561) 502-3978
Updated
Certification Date
Jul 31, 2024

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.

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.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)
207R00000X
- Internal Medicine

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
301 STEEPLE CHASE DR # 206,
PRINCE FREDERICK, MD 77025-1669