MEDSTAR MEDICAL GROUP II LLC (NPI# 1053874321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053874321 |
| Entity Type | Organization |
| Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Practice Address |
18101 Prince Philip Dr Olney MD 20832-1514 |
| Mailing Address |
2000 15th St N Ste 600 Arlington VA 22201-2900 |
| Practice Telephone | 3017748860 |
| Practice Fax Number | 3017748899 |
| Mailing Telephone | 7035581400 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | MS. STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7025581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMG PSYCH at MMMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1437765104 | Medstar Medical Group II LLC | Health Educator | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2020-09-18 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1538704416 | Medstar Medical Group II LLC | Clinic/Center | 3800 Reservoir Rd Nw, 1 Bles, Washington, DC 20007-2113 | 2019-11-14 |
| 1093368409 | Medstar Medical Group II LLC | Psychiatry & Neurology | 5601 Loch Raven Blvd Ste 406, Baltimore, MD 21239-2949 | 2019-07-24 |
| 1215580618 | Medstar Medical Group II LLC | Psychiatry & Neurology | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2019-07-24 |
| 1013489368 | Medstar Medical Group II LLC | Psychiatry & Neurology | 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 | 2018-12-27 |
| 1184046187 | Medstar Medical Group II LLC | General Practice | 5601 Loch Raven Blvd, Russell Morgan Bldg 3rd Fl, Baltimore, MD 21239-2945 | 2014-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedStar Medical Group II LLC | 10980 Grantchester Way, Columbia, Maryland 20708 |
| Street Address |
18101 PRINCE PHILIP DR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922341 | Montgomery General Hospital, Inc. | General Acute Care Hospital | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2005-06-15 |
| 1922619402 | Casey Lee Yelton | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-08-10 |
| 1407477383 | Sandy Gay Wiese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-05-01 |
| 1053952531 | Letha Menon Sunil | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-10-04 |
| 1588211106 | Rachel Danielle Teicher | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-08-19 |
| 1871146928 | Alexandria Daniel | Emergency Medicine | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-07-18 |
| 1699247395 | Benjamin Labovitz | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-12-19 |
| 1659846269 | Julie Martina Perta | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-10-10 |
| 1760994925 | Amanda Freese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-10-27 |
| 1124556857 | Maria M Araneta | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659883197 | Families First Counseling and Psychiatry, LLC | Psychiatry & Neurology | 17904 Georgia Ave Ste 105a, Olney, MD 20832-2234 | 2017-10-24 |
| 1265444574 | Nicholas Jacob Schor | Psychiatry & Neurology | 5004 Continental Dr, Olney, MD 20832-2973 | 2006-08-13 |
| 1801415443 | Lifespan Behavioral Health Services PC | Psychiatry & Neurology | 3416 Olandwood Ct Ste 201, Olney, MD 20832-1373 | 2020-04-14 |
| 1144701772 | Hefuna Mental Health Wellness LLC | Psychiatry & Neurology | 3416 Olandwood Ct Ste 201, Olney, MD 20832-1373 | 2018-08-22 |
| 1942322680 | Garsutis K. Palys | Psychiatry & Neurology | 3416 Olandwood Ct, Suite 201, Olney, MD 20832-1372 | 2007-04-04 |
| 1356472989 | Morton Barry Albert | Psychiatry & Neurology | 3416 Olandwood Ct, Suite 201, Olney, MD 20832-1372 | 2007-03-07 |
| 1295752061 | Khaled Abdelghany Khalafallah | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2006-07-16 |
| 1306863170 | Khaled A Khalafallah, PC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2006-07-16 |
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|---|---|---|---|---|
| 1881294403 | Healing Connections Mental Health | Psychiatry & Neurology | 9030 Bethel Rd, Frederick, MD 21702-2004 | 2020-11-01 |
| 1316554793 | G & E Behavioral Health Services, LLC | Psychiatry & Neurology | 224 N Gay Street 2nd Floor, Baltimore, MD 21202-1511 | 2020-09-29 |
| 1114532454 | American Psychiatric Care LLC | Psychiatry & Neurology | 11886 Healing Way Ste 504, Silver Spring, MD 20904-7917 | 2020-09-14 |
| 1942815865 | Louis-jacques Health, LLC | Psychiatry & Neurology | 8110 Bethel Lane, Savage, MD 20763-5546 | 2020-09-09 |
| 1154949402 | Wallace Philip Shaw | Psychiatry & Neurology | Clinical Center Nih, Bethesda, MD 20892-0001 | 2020-07-13 |
| 1427676071 | Equilibrium Behavioral Health LLC | Psychiatry & Neurology | 821 Key Hwy, Baltimore, MD 21230-3921 | 2020-07-10 |
| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1982226924 | Child and Adult Psychiatry Services LLC | Psychiatry & Neurology | 6024 Pure Sky Pl, Clarksville, MD 21029-1238 | 2020-05-13 |
| 1992327068 | Emros Behavioral Healthcare Services LLC | Psychiatry & Neurology | 700 Henderson Rd, Bel Air, MD 21014-2515 | 2020-05-12 |
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.