Organization Active NPI

Addiction Medication Clinic LLC

Doing business as Maryland Behavioral Health Clinic

  • Family Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1184208688
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADDICTION MEDICATION CLINIC LLC
Doing business as
Maryland Behavioral Health Clinic
Practice address
407 Malcolm Dr
Westminster, MD 21157-6107
Phone
(443) 547-2964
Fax
(443) 419-2996
NPI assigned
May 11, 2021
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDICTION MEDICATION CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Rachel Sagi
Title
Coo
Phone
(443) 547-2964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

407 Malcolm Dr
Westminster, MD 21157-6107

Mailing address

407 Malcolm Dr
Westminster, MD 21157-6107
Phone (443) 547-2964

Other identifiers 1

IdentifierTypeStateIssuer
999656700MedicaidMD

Other names 1

  • MARYLAND BEHAVIORAL HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Addiction Medication Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

407 Malcolm Dr
Westminster, MD 21157
Phone (410) 702-0921

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1184208688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MALCOLM DR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576107",
            "telephone_number": "443-547-2964",
            "fax_number": "443-417-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MALCOLM DR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576107",
            "telephone_number": "443-547-2964",
            "fax_number": "443-419-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MEDICATION CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDICTION MEDICATION CLINIC LLC",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SAGI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-547-2964"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999656700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYLAND BEHAVIORAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.