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PSYCHOGERIATRIC SERVICES LLC NPI 1588689483


NPI Information

NPI: 1588689483
Provider Name: PSYCHOGERIATRIC SERVICES LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
12073 TECH RD STE B
SILVER SPRING, MD
ZIP 20904
Phone: (301) 593-1315
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PSYCHOGERIATRIC SERVICES LLC is a psychiatry psychiatry neurology in Silver Spring, MD. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PSYCHOGERIATRIC SERVICES LLC NPI is 1588689483. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12073 TECH RD STE B
SILVER SPRING, MD
ZIP 20904-874
Phone: (301) 593-1315
Fax: (301) 681-4699

The provider's authorized official is Myriam Perales .
The authorized official title is Credentialing Manager and has the following contact phone number (240) 691-4952.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3363L00000XNurse PractitionerNo
42084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G01132OTHERDISTRICT OF COLUMBIAMEDICARE
2400730100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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