Active NPI
Roxanne Dryden-Edwards, MD LLC
- Psychiatry Physician
- Gaithersburg, MD
National Provider Identifier
1205142155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 41445
- Legal business name
- ROXANNE DRYDEN-EDWARDS, MD LLC
- Practice address
- 9055 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (908) 625-9713
- NPI assigned
- Aug 28, 2010
- 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
- Mark Christopher Edwards
- Title
- Managing Partner
- Phone
- (908) 625-9713
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3127 | MD | |
| Psychiatry Physician | 2084P0800X | 41445 | MD | Primary |
Addresses
Primary practice location
9055 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9055 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (908) 625-9713
Other names 1
- Archon Consultants
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282953600000",
"number": "1205142155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9055 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "908-625-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "908-625-9713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROXANNE DRYDEN-EDWARDS, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-28",
"last_updated": "2010-08-28",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "908-625-9713"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "3127",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "41445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Archon Consultants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.