Active NPI
Stepping Stones Behavioral Health and Wellness Services
- Psychiatry Physician
- Bowie, MD
National Provider Identifier
1154096253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- STEPPING STONES BEHAVIORAL HEALTH AND WELLNESS SERVICES
- Practice address
- 9806 Traver St
Bowie, MD 20721-1869 - Phone
- (240) 425-3279
- NPI assigned
- Aug 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faisal Khadar
- Title
- Manager
- Phone
- (240) 425-3279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
9806 Traver St
Bowie, MD 20721-1869
Mailing address
1 E Chase St Ste 1140
Baltimore, MD 21202-2565
Phone (240) 425-3279
Other names 1
- STEPPING STONES BEHAVIORAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240606002465 | DC | Part B Supplier - Clinic/Group Practice | 7618419599 |
Receives reassigned benefits from 2 practitioners Practice locations: Bowie, MD |
| O20260223003926 | MD | Part B Supplier - Clinic/Group Practice | 7618419599 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbia, MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
- NPI 1548893126
DC, MD, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1154096253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CHASE ST STE 1140",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022565",
"telephone_number": "240-425-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9806 TRAVER ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207211869",
"telephone_number": "240-425-3279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPPING STONES BEHAVIORAL HEALTH AND WELLNESS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "KHADAR",
"authorized_official_first_name": "FAISAL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "240-425-3279"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "STEPPING STONES BEHAVIORAL",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.