| Tms Neurohealth Centers Kensington, Llc | |
|
10400 Connecticut Ave Suite 407 Kensington MD 20895-3910 | |
| (703) 356-1568 | |
| Not Available |
| Full Name | Tms Neurohealth Centers Kensington, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10400 Connecticut Ave, Kensington, Maryland |
| Authorized Official Name and Position | Kelli Cefalu (CENTER MANAGER) |
| Authorized Official Contact | 5713591171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Neurohealth Centers Kensington, Llc 8405 Greensboro Dr Suite 120 Mc Lean VA 22102-5104 Ph: (571) 359-1171 | Tms Neurohealth Centers Kensington, Llc 10400 Connecticut Ave Suite 407 Kensington MD 20895-3910 Ph: (703) 356-1568 |
| NPI Number | 1912314071 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 09/09/2016 |
| Medicare PECOS PAC ID | 3476864737 |
|---|---|
| Medicare Enrollment ID | O20150612002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912314071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Edward J Swanton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407910730 PECOS PAC ID: 3678622396 Enrollment ID: I20090528000373 |
| Provider Name | Andrea P Watkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801025515 PECOS PAC ID: 6002059201 Enrollment ID: I20150420000320 |
| Provider Name | Geoffrey G Grammer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528141017 PECOS PAC ID: 8426375825 Enrollment ID: I20161202000253 |
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