NPIMap

Organization Active NPI

Adventist Physician Services, Inc.

Doing business as Adventist Medical Group

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1013497700
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ADVENTIST PHYSICIAN SERVICES, INC.
Doing business as
Adventist Medical Group
Practice address
7610 Carroll Ave Ste 410
Takoma Park, MD 20912-6321
Phone
(301) 891-5079
NPI assigned
Aug 21, 2018
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Pulio
Title
SVP/Cfo
Phone
(301) 315-3826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

7610 Carroll Ave Ste 410
Takoma Park, MD 20912-6321

Mailing address

820 W Diamond Ave
Gaithersburg, MD 20878-1419
Phone (301) 315-3102

Other names 1

  • Adventist Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Physician Services PRBH57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1013497700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781419",
            "telephone_number": "301-315-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 410",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126321",
            "telephone_number": "301-891-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "PULIO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "301-315-3826"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.