GEMINI HEALTH HOLDINGS LLC (NPI# 1518599679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518599679 |
| Entity Type | Organization |
| Organization Name | GEMINI HEALTH HOLDINGS LLC |
| Practice Address |
1704 Back Acre Cir Mount Airy MD 21771-7768 |
| Mailing Address |
2702 Back Acre Cir Ste 290b Mount Airy MD 21771-7769 |
| Practice Telephone | 3017038767 |
| Practice Fax Number | 3017038886 |
| Mailing Telephone | 4437019295 |
| Mailing Fax Number | 3017038886 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | DR. SUDHIR RAO (OWNER / PHYSICIAN) |
| Authorized Official Telephone | 4437019295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280087 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-16 |
| 1487280152 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-13 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
| 1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
| Street Address |
1704 BACK ACRE CIR |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-7768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280087 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-16 |
| 1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| 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 |
|---|---|---|---|---|
| 1306021480 | Carolina Child and Family Services, Inc. | Psychiatry & Neurology | 849 E Pine St, Mount Airy, NC 27030-3933 | 2008-01-08 |
| 1588626790 | Sangeeta Verma | Psychiatry & Neurology | 517 Rambling Sunset Cir, Mount Airy, MD 21771-5796 | 2006-04-04 |
| 1629051040 | Shobhit Singh Negi | Psychiatry & Neurology | 1311 S Main St Ste 202, Mount Airy, MD 21771-5457 | 2005-11-21 |
| 1326324641 | Daymark Recovery Services Inc | Psychiatry & Neurology | 940 W Lebanon St, Mount Airy, NC 27030-2222 | 2011-11-01 |
| 1710168042 | Frantz Eli Pierre | Psychiatry & Neurology | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2007-11-15 |
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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 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
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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.