| Maryland Psychiatric Care | |
|
4470 Southern Business Park Dr White Plains MD 20695-2840 | |
| (301) 979-8300 | |
| Not Available |
| Full Name | Maryland Psychiatric Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4470 Southern Business Park Dr, White Plains, Maryland |
| Authorized Official Name and Position | Gwendolyn Lindsey (MEMBER) |
| Authorized Official Contact | 3019798300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Psychiatric Care 4470 Southern Business Park Dr White Plains MD 20695-2840 Ph: () - | Maryland Psychiatric Care 4470 Southern Business Park Dr White Plains MD 20695-2840 Ph: (301) 979-8300 |
| NPI Number | 1861103673 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 4082057310 |
|---|---|
| Medicare Enrollment ID | O20240202003961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861103673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Marshall A James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992308696 PECOS PAC ID: 0143637017 Enrollment ID: I20210322002265 |
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