Cornerstone Montgomery, Inc.
Organization Active NPI Community/Behavioral Health Agency · Leonardtown, MD
NPI 1073223293 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1073223293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CORNERSTONE MONTGOMERY, INC.
- Practice address
- 41900 Fenwick St Ste 5
Leonardtown, MD 20650-3815 - Phone
- (301) 475-9315
- Fax
- (301) 475-9317
- NPI assigned
- Nov 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Michael Ostrowski
- Title
- Billing Manager
- Phone
- (301) 493-4200
Corporate family (same tax ID) 40
National Provider Directory
- Tax ID family
- Cornerstone Montgomery Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
41900 Fenwick St Ste 5
Leonardtown, MD 20650-3815
Mailing address
2 Taft CT Ste 200
Rockville, MD 20850-1390
Phone (301) 715-3673
NPI Registry JSON
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1073223293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TAFT CT STE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501390",
"telephone_number": "301-715-3673",
"fax_number": "888-496-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41900 FENWICK ST STE 5",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503815",
"telephone_number": "301-475-9315",
"fax_number": "301-475-9317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE MONTGOMERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "OSTROWSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "301-493-4200"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
- Morgan Cohen
- Kelsey Colvin
- Kelly Condron
- Kimberly Ann Cook
- Jenelle L Cooper
- Cornerstone Montgomery, Inc.
- Cornerstone Montgomery, Inc.
- Cornerstone Montgomery, Inc.
- Kaitlyn Ann Coucoules
- Asha Cox
All providers in Leonardtown, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.