Organization Active NPI

Rockville Psychiatric Service LLC

  • Psychiatry Physician
  • Gaithersburg, MD
National Provider Identifier
1205330842
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROCKVILLE PSYCHIATRIC SERVICE LLC
Doing business as
Rockville Psychiatric Service LLC
Practice address
12209 Gibby Aly
Gaithersburg, MD 20878-2492
Phone
(301) 742-8099
Fax
(240) 317-6779
NPI assigned
Mar 20, 2018
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Hang Wang, MDNPI 1609159482
Title
Owner
Phone
(301) 792-8099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

12209 Gibby Aly
Gaithersburg, MD 20878-2492

Mailing address

500 N Washington St Unit 4148
Rockville, MD 20849-7583
Phone (227) 303-8612

Other names 1

  • ROCKVILLE PSYCHIATRIC SERVICE LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606000362 DC Part B Supplier - Clinic/Group Practice 5092070458 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1205330842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON ST UNIT 4148",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208497583",
            "telephone_number": "227-303-8612",
            "fax_number": "240-317-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 GIBBY ALY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782492",
            "telephone_number": "301-742-8099",
            "fax_number": "240-317-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE PSYCHIATRIC SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-792-8099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKVILLE PSYCHIATRIC SERVICE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROCKVILLE PSYCHIATRIC SERVICE LLC",
            "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 Oct 17, 2026; 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.

Verify at the official NPI Registry.