Organization Active NPI

Maryland Psychiatric Care, LLC

  • Psychiatry Physician
  • White Plains, MD
National Provider Identifier
1134815343
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARYLAND PSYCHIATRIC CARE, LLC
Practice address
4470 Southern Business Park Dr
White Plains, MD 20695-2840
Phone
(301) 979-8300
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Marshall James
Title
Managing Member
Phone
(866) 437-6203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4470 Southern Business Park Dr
White Plains, MD 20695-2840

Mailing address

4470 Southern Business Park Dr
White Plains, MD 20695-2840

National Provider Directory

National Provider Directory
Tax ID family
Maryland Psychiatric Care LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1134815343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SOUTHERN BUSINESS PARK DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206952840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 SOUTHERN BUSINESS PARK DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206952840",
            "telephone_number": "301-979-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PSYCHIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "866-437-6203"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.