NPI 1215635099 · live from the CMS NPI Registry
Adventist Physician Services, INC
Nurse Practitioner, Psych/Mental Health in Rockville, MD. National Provider Identifier 1215635099, active.
NPI record
| NPI | 1215635099 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 9901 Medical Center Dr, Rockville, MD 20850 |
| Practice phone | 240-826-6000 |
| Mailing address | 820 W Diamond Ave Ste 500, Gaithersburg, MD 20878 |
| Enumerated | February 21, 2023 |
| Last updated | February 21, 2023 |
| Authorized official | Fran Linford, Senior Provider Network Analyst |
| Other names | Adventist Medical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Clinical Neuropsychologist | 103G00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.