ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC
NPI 1386196400
Clinic/Center - Developmental Disabilities in Lanham, MD

Active since October 25, 2016
4355 NICOLE DR STE E, LANHAM, MD 20706(301) 586-0900(240) 516-0391 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2023, Oct 25, 2016 (2 updates tracked since 2016).

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC

This page provides the complete NPI Profile along with additional information for Rock Creek Foundation For Mental Health Inc, a provider established in Lanham, Maryland operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1386196400 assigned on October 2016. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Theresa Jackson (Billing Coordinator/am)

NPI
1386196400 Verify this NPI
Provider Name
ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC
Entity Type
Organization
Location Address
4355 NICOLE DR STE E LANHAM, MD 20706
Location Phone
(301) 586-0900
Location Fax
(240) 516-0391
Mailing Address
12200 TECH RD STE 330 SILVER SPRING, MD 20904
Mailing Phone
(301) 572-6585
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-25-2016
Last Update Date
10-03-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

2898 (MD)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THERESA JACKSON

Authorized Official Title
BILLING COORDINATOR/AM
Authorized Official Phone
(301) 586-0900

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Developmental Disabilities)
4355 NICOLE DR STE E
LANHAM, MD 20706
Community/Behavioral Health
4355 NICOLE DR STE E
LANHAM, MD 20706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386196400, enumerated as an "organization" on October 25, 2016.

The provider is located at 4355 NICOLE DR STE E LANHAM, MD 20706 and the phone number is (301) 586-0900.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.