Individual provider Active NPI

Marianna Ruvinov

  • Behavior Technician
  • Derwood, MD
National Provider Identifier
1174197198
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7529 Standish PL Ste 355
Derwood, MD 20855-2733
Phone
(301) 444-5001
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

7529 Standish PL Ste 355
Derwood, MD 20855-2733

Mailing address

7529 Standish PL Ste 355
Derwood, MD 20855-2733
Phone (301) 444-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624000372 DC Practitioner - Mental Health Counselor 5294208013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Taft CT
Suite 200
Rockville, MD 20850-1307

6040 Southport Dr
Bethesda, MD 20814-1848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1174197198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 STANDISH PL STE 355",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552733",
            "telephone_number": "301-444-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 STANDISH PL STE 355",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552733",
            "telephone_number": "301-444-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVINOV",
        "first_name": "MARIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derwood, MD

Sources for this page

Verify at the official NPI Registry.