NPIMap

Organization Active NPI

Cornerstone Montgomery, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
National Provider Identifier
1134591985
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH-2204 Issued in MD
Legal business name
CORNERSTONE MONTGOMERY, INC.
Practice address
2 Taft CT
A
Rockville, MD 20850-1307
Phone
(301) 493-4200
Fax
(888) 496-8354
NPI assigned
Oct 20, 2015
Organization subpart
Yes
Parent organization
CORNERSTONE MONTGOMERY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Gwendolyn Zecha
Title
Cfo
Phone
(301) 896-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-2204 MD Primary

Addresses

Primary practice location

2 Taft CT
A
Rockville, MD 20850-1307

Mailing address

2 Taft CT
A
Rockville, MD 20850-1307
Phone (301) 493-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040501000320 DC Part B Supplier - Clinic/Group Practice 3971591751 Receives reassigned benefits from 53 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bethesda, MD; Rockville, MD; 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
Cornerstone Montgomery Inc41 organizations share this tax ID, including this one
Part of
Cornerstone Montgomery Inc

Other organizations with this tax ID 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1134591985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TAFT CT",
            "address_2": "A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501307",
            "telephone_number": "301-493-4200",
            "fax_number": "888-496-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAFT CT",
            "address_2": "A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501307",
            "telephone_number": "301-493-4200",
            "fax_number": "888-496-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MONTGOMERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE MONTGOMERY, INC.",
        "enumeration_date": "2015-10-20",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "ZECHA",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-896-4262"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.