NPIMap

Organization Active NPI

Green Ridge Behavioral Health, LLC

  • Neurology Physician
  • Silver Spring, MD
National Provider Identifier
1285041616
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0056459 Issued in MD
Legal business name
GREEN RIDGE BEHAVIORAL HEALTH, LLC
Practice address
12073 Tech Rd
Suite a
Silver Spring, MD 20904
Phone
(240) 683-6202
Fax
(240) 683-6203
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. Narayanan Ramesh, M.D.
Title
Partner
Phone
(240) 683-6202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X D0056459 MD Primary

Addresses

Primary practice location

12073 Tech Rd
Suite a
Silver Spring, MD 20904

Mailing address

610 Professional Drive
Suite 255
Gaithersburg, MD 20879
Phone (240) 683-6202

National Provider Directory

National Provider Directory
Tax ID family
Green Ridge Behavioral Health 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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1285041616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DRIVE",
            "address_2": "SUITE 255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20879",
            "telephone_number": "240-683-6202",
            "fax_number": "240-683-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12073 TECH RD",
            "address_2": "SUITE A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "240-683-6202",
            "fax_number": "240-683-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIDGE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "RAMESH",
        "authorized_official_first_name": "NARAYANAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "240-683-6202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0056459",
            "primary": true
        }
    ],
    "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 Jul 18, 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.