Sunrise Psychotherapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNRISE PSYCHOTHERAPY LLC

Practice address

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139

Phone

(240) 785-0212

NPI assigned

Nov 9, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Rubin, LGPCNPI 1144914243

Title

Owner

Phone

(813) 451-1641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra G Rubin

  • Mental Health Counselor
  • Oakland, MD
  • NPI 1144914243

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1053185009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 CHALET DR APT 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745875",
            "telephone_number": "240-785-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "240-785-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-451-1641",
        "authorized_official_credential": "LGPC"
    },
    "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": []
}

• Helen Stephens
• Victoria Stevens, LPN
• Crystal L Stewart, LCPC
• Leslie Stone, RPH
• Amber Elizabeth Stonesifer, FNP-C
• Lois G Swartzentruber, LGSW
• Samantha Marie Swift
• Tabou Psychiatry & Mental Health LLC
• Talk37 LLC
• Elias John Tancin, LGSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oakland, MD
• Providers in Oakland, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.