Organization Active NPI

Wellspring Bridge Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
National Provider Identifier
1013716166
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLSPRING BRIDGE HEALTHCARE LLC
Practice address
1451 Rockville Pike Ste 250
Rockville, MD 20852-1486
Phone
(301) 640-5288
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Momoh MakieuNPI 1376198697
Title
Owner
Phone
(301) 640-5288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1451 Rockville Pike Ste 250
Rockville, MD 20852-1486

Mailing address

1451 Rockville Pike Ste 250
Rockville, MD 20852-1498
Phone (301) 640-5288

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1013716166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521498",
            "telephone_number": "301-640-5288",
            "fax_number": "240-371-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521486",
            "telephone_number": "301-640-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING BRIDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MAKIEU",
        "authorized_official_first_name": "MOMOH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-640-5288"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.