NPIMap

Organization Active NPI

Montgomery County Maryland Government

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1104946482
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Practice address
11002 Veirs Mill Rd # 705
Silver Spring, MD 20902-2574
Phone
(240) 777-1384
NPI assigned
Mar 30, 2007
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Diana Azucena Cortez
Title
Management
Phone
(240) 672-6758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11002 Veirs Mill Rd # 705
Silver Spring, MD 20902-2574

Mailing address

401 Hungerford Dr FL 6
Rockville, MD 20850-4154
Phone (240) 777-4520

Other identifiers 1

IdentifierTypeStateIssuer
265391500MedicaidMD

Other names 1

  • Adult Behavioral Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001631 DC Part B Supplier - Clinic/Group Practice 4981675477 Receives reassigned benefits from 74 practitioners
20 other NPIs on this enrollment
Practice locations: Silver Spring, MD; Wheaton, MD; Rockville, MD; Germantown, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Mont Co Dept of Health99 organizations share this tax ID, including this one
Part of
Mont Co Dept of Health

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

Locations

11002 Veirs Mill Rd
Ste 705
Silver Spring, MD 20902

11002 Veirs Mill Rd
#705
Silver Spring, MD 20902
Phone (240) 777-1384

2424 Reedie Dr
Wheaton, MD 20902
Phone (301) 962-6173

Practitioners & affiliated clinicians

Practitioners 100

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

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1104946482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-777-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11002 VEIRS MILL RD # 705",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022574",
            "telephone_number": "240-777-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "AZUCENA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "240-672-6758"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265391500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2025; 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.