JOURNEYS ADOLESCENT PROGRAM
NPI 1760644835
Clinic/Center - Rehabilitation, Substance Use Disorder in Rockville, MD

NPI Status: Active since June 30, 2008

Contact Information

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853
Phone: (301) 294-4015
Fax: (301) 294-4017

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About JOURNEYS ADOLESCENT PROGRAM

This page provides the complete NPI Profile along with additional information for Journeys Adolescent Program, a provider established in Rockville, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1760644835 assigned on June 2008. The practitioner's primary taxonomy code is 261QR0405X with license number 15147 (MD). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Journeys Adolescent Program. The authorized official of this NPI record is Mr. William J Roby Mba (Executive Vice President)

NPI
1760644835
Provider Legal Name
MARYLAND TREATMENT CENTERS INC
Other Organization Name
JOURNEYS ADOLESCENT PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14703 AVERY RD ROCKVILLE, MD 20853
Location Phone
(301) 294-4015
Location Fax
(301) 294-4017
Mailing Address
14703 AVERY RD ROCKVILLE, MD 20853
Mailing Phone
(301) 762-5613
Mailing Fax
(301) 294-4017
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2008
Last Update Date
04-06-2021
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
15147
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. WILLIAM J ROBY MBA

Authorized Official Title
EXECUTIVE VICE PRESIDENT
Authorized Official Phone
(301) 447-2361

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
391090300MEDICAID (05)MD 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760644835
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120124886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 4 + 8 + 8 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1760644835 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

MARYLAND TREATMENT CENTERS, INC.

Substance Abuse Rehabilitation Facility

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

MARYLAND TREATMENT CENTERS, INC.

Clinic/Center

(Adult Mental Health)

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

AMIR ABDULLAH LCPC

Counselor

(Professional)

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

MARY BETH BLOCKER PA

Physician Assistant

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

RECOVERY HEALTH SERVICES, LLC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

MARYLAND TREATMENT CENTERS, INC.

Clinic/Center

(Rehabilitation, Substance Use Disorder)

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

KARI PEREZ LCPC

Counselor

(Professional)

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

MARYLAND TREATMENT CENTERS INC

Substance Abuse Rehabilitation Facility

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

JIBY BASCAL NP

Nurse Practitioner

(Family)

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853

(301) 762-5613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760644835, enumerated as an "organization" on June 30, 2008.

The provider is located at 14703 AVERY RD ROCKVILLE, MD 20853 and the phone number is (301) 294-4015.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.