NPIMap

Organization Active NPI

Affiliated Sante Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
National Provider Identifier
1083720569
Registry record updated Sep 16, 2019
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
AFFILIATED SANTE GROUP
Practice address
1400 Spring St Ste 100
Silver Spring, MD 20910-2751
Phone
(301) 589-2303
Fax
(301) 585-2965
NPI assigned
Aug 21, 2006
Last updated
Sep 16, 2019By the provider in NPPES
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 Clinic/Center (Including Community Mental Health Center) 261QM0801X 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 (301) 572-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000456 MD Part B Supplier - Clinic/Group Practice 4385546639 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD
O20040429000842 DC Part B Supplier - Clinic/Group Practice 4385546639 Receives reassigned benefits from 13 practitioners
Practice locations: Silver Spring, MD

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

Locations

1400 Spring St
Ste 100
Silver Spring, MD 20910
Phone (301) 589-2303

7961 Eastern Ave
Silver Spring, MD 20910
Phone (301) 589-2303

7961 Eastern Ave
Fl 1
Silver Spring, MD 20910
Phone (301) 589-2303

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1083720569",
    "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": "301-572-6585"
        },
        {
            "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": "301-589-2303",
            "fax_number": "301-585-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED SANTE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "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": "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 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.
  • 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.