OrganizationActive
Family Educational Support Services
NPI 1114482247 · Adolescent and Children Mental Health Clinic/Center · Bowie, MD
Provider details
- NPI number
- 1114482247
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phyllis Randle, Chief Executive Officer(301) 448-6939
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4201 Northview Dr Ste 404
Bowie, MD 20716-2664
Phone: (301) 448-6939
Street-level locationGet directions
Mailing address
4201 Northview Dr Ste 404
Bowie, MD 20716-2664
Registry dates
- Enumerated
- 2019-02-03
- Last updated
- 2019-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.