NPIMap

Organization Active NPI

Affiliated Sante Group

  • Mental Health Counselor
  • Silver Spring, MD
National Provider Identifier
1043485089
Registry record updated Sep 16, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AFFILIATED SANTE GROUP
Practice address
1400 Spring St Ste 100
Silver Spring, MD 20910-2751
Phone
(301) 572-6585
Fax
(301) 572-5062
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Steven Sahm
Title
Billing Manager
Phone
(301) 572-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MD Primary

Addresses

Primary practice location

1400 Spring St Ste 100
Silver Spring, MD 20910-2751

Mailing address

12200 Tech Rd Ste 330
Silver Spring, MD 20904-1913
Phone (015) 726-5853

Other identifiers 3

IdentifierTypeStateIssuer
352850200MedicaidMD
340671700MedicaidMD
3406717000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Asg18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1043485089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041913",
            "telephone_number": "015-726-5853",
            "fax_number": "301-572-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST STE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102751",
            "telephone_number": "301-572-6585",
            "fax_number": "301-572-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED SANTE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "SAHM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "301-572-6585"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352850200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340671700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406717000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.