The Village Pediatric & Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0062518 Issued in MD

Legal business name

THE VILLAGE PEDIATRIC & WELLNESS CENTER

Practice address

50 W Edmonston Dr Ste 502
Rockville, MD 20852-1222

Phone

(301) 637-3005

Fax

(866) 890-7221

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Monica Del Carmen Pourrat, MDNPI 1760569271

Title

Doctor

Phone

(301) 637-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22881/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Monica Del Carmen Pourrat, M.D., M.P.H.

  • Pediatrics Physician
  • Rockville, MD
  • NPI 1760569271
  NPD (past) Authorized official

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1174949358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 502",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521222",
            "telephone_number": "301-637-3005",
            "fax_number": "866-890-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 502",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521222",
            "telephone_number": "301-637-3005",
            "fax_number": "866-890-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE PEDIATRIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "POURRAT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-637-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0062518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10234246",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Treatment and Learning Center
• The Treatment and Learning Centers
• The Treatment and Learning Centers
• The Treatment and Learning Centers, Inc.
• The Village at Rockville, Inc.
• The Village Youth & Family Center, Inc. (Vikara Village)
• The Wellness Joint LLC.
• The Yohannes Center of Excellence and Advanced Learning LLC (Tyc)
• Marjorie Theard, LGSW
• Andrea Theis

• Primary Care Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.