NPI 1578231213 · live from the CMS NPI Registry
1st Medical Pain Management Specialists
Clinic/Center in Edgewater, MD. National Provider Identifier 1578231213, active.
NPI record
| NPI | 1578231213 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 20 Mayo Rd Ste 201, Edgewater, MD 21037 |
| Practice phone | 410-956-6800 |
| Enumerated | August 30, 2021 |
| Last updated | January 23, 2022 |
| Authorized official | Rosemary Ingado, Clinical Director |
| Other names | 1st Medical Painrehab Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | — |
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | — |
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | — |
| Clinic/Center primary | 261Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.