SSV Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SSV MEDICAL GROUP

Practice address

23202 Brewers Tavern Way
Clarksburg, MD 20871-4391

Phone

(301) 221-0818

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Shelly ValliathNPI 1689211518

Title

Founder

Phone

(301) 221-0818

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Sharma Valliath, NP

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1689211518
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1104526458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23202 BREWERS TAVERN WAY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714391",
            "telephone_number": "301-221-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23202 BREWERS TAVERN WAY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714391",
            "telephone_number": "301-221-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSV MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "VALLIATH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-221-0818"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ssvmedicalgroup@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23202 Brewers Tavern Way",
            "city": "Clarksburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208714391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Minali Sharma, LCPC
• Simple Balanced Life, LLC
• Slate Clinical Counseling and Consultation LLC
• Whitney Smith
• Sainabou Sosseh
• Stacie Raltiff, LCSW-C
• Allison Chase Staton, PHARM.D.
• Nicole Ann Steele
• Princess Stephenson, APRN, FNP-C
• Stomacare Corporation

• Primary Care Clinic/Center in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.