NPIMap

Organization Active NPI

Perceptive Minds

  • Adult Mental Health Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1063110195
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PERCEPTIVE MINDS
Practice address
106 E Deer Park Dr
Gaithersburg, MD 20877-2013
Phone
(503) 686-4637
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Tyler Presjak, LPCNPI 1407209976
Title
Licensed Professional Counselor
Phone
(503) 686-4637

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

106 E Deer Park Dr
Gaithersburg, MD 20877-2013

Mailing address

106 E Deer Park Dr
Gaithersburg, MD 20877-2013
Phone (503) 686-4637

Other names 1

  • Perceptive Minds Other name

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1063110195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E DEER PARK DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772013",
            "telephone_number": "503-686-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E DEER PARK DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772013",
            "telephone_number": "503-686-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCEPTIVE MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "PRESJAK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "503-686-4637",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perceptive Minds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.