Organization Active NPI

American Psychiatric Care LLC

  • Psychiatry Physician
  • Silver Spring, MD
National Provider Identifier
1114532454
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AMERICAN PSYCHIATRIC CARE LLC
Practice address
11886 Healing Way Ste 504
Silver Spring, MD 20904-7917
Phone
(410) 670-3076
Fax
(443) 372-5365
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN PSYCHIATRIC CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Ravikumar Bhalavat, M.D.NPI 1447406624
Title
President
Phone
(410) 670-3076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

11886 Healing Way Ste 504
Silver Spring, MD 20904-7917

Mailing address

2014 S Tollgate Rd Ste 208
Bel Air, MD 21015-5904
Phone (410) 670-3076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007002211 DC Part B Supplier - Clinic/Group Practice 7315167707 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silver Spring, MD

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
American Psychiatric Care8 organizations share this tax ID, including this one
Part of
American Psychiatric Care

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11886 Healing Way
Ste 504
Silver Spring, MD 20904
Phone (410) 670-3076

14631 Route 29
Ste 110
Centreville, VA 20121

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1114532454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD STE 208",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155904",
            "telephone_number": "410-670-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 HEALING WAY STE 504",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "410-670-3076",
            "fax_number": "443-372-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PSYCHIATRIC CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN PSYCHIATRIC CARE LLC",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "BHALAVAT",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-670-3076",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "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 14, 2020; 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.