NPIMap

Organization Active NPI

Medstar Medical Group II LLC

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1093368409
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MEDSTAR MEDICAL GROUP II LLC
Practice address
5601 Loch Raven Blvd Ste 406
Baltimore, MD 21239-2949
Phone
(443) 444-4540
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDSTAR MEDICAL GROUP II LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Stephanie Schneider
Title
VP
Phone
(702) 558-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5601 Loch Raven Blvd Ste 406
Baltimore, MD 21239-2949

Mailing address

2000 15TH St N Ste 600
Arlington, VA 22201-2900
Phone (703) 558-1400

Other names 1

  • MMG PSYCH AT GOODSAM Other name

National Provider Directory

National Provider Directory
Tax ID family
Medstar Medical Group II LLC278 organizations share this tax ID, including this one
Part of
Medstar Medical Group II LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1093368409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012900",
            "telephone_number": "703-558-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD STE 406",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392949",
            "telephone_number": "443-444-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR MEDICAL GROUP II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAR MEDICAL GROUP II LLC",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "702-558-1403"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMG PSYCH AT GOODSAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.