Active NPI
Nervous System Clinic Renovar, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
National Provider Identifier
1265218416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NERVOUS SYSTEM CLINIC RENOVAR, LLC
- Practice address
- 8901 New Hampshire Ave
Silver Spring, MD 20903-3611 - Phone
- (202) 241-0581
- NPI assigned
- Sep 5, 2023
- Last updated
- Feb 21, 2024
- 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
- Rosario Lozano, MD
- Title
- Ceo
- Phone
- (202) 758-7243
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | |||
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Psychiatric Hospital | 283Q00000X | |||
| Rehabilitation Hospital | 283X00000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
8901 New Hampshire Ave
Silver Spring, MD 20903-3611
Mailing address
8901 New Hampshire Ave
Silver Spring, MD 20903-3611
Phone (301) 580-1313
National Provider Directory
National Provider DirectoryLocations
8901 New Hampshire Ave
Silver Spring, MD 20903
Phone (301) 445-7970
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.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1376970020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1265218416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 NEW HAMPSHIRE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209033611",
"telephone_number": "301-580-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 NEW HAMPSHIRE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209033611",
"telephone_number": "202-241-0581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NERVOUS SYSTEM CLINIC RENOVAR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2024-02-21",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "LOZANO",
"authorized_official_first_name": "ROSARIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-758-7243",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.