Hillandale Mental Health Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

D18251 Issued in MD

Legal business name

HILLANDALE MENTAL HEALTH ASSOCIATES LLC

Practice address

10230 New Hampshire Ave
Suite 202
Silver Spring, MD 20903-1400

Phone

(301) 431-2500

Fax

(301) 439-5927

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ghislaine Fougy, M.D.

Title

Doctor

Phone

(301) 431-2500

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1326301763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-431-2500",
            "fax_number": "301-439-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-431-2500",
            "fax_number": "301-439-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLANDALE MENTAL HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "FOUGY",
        "authorized_official_first_name": "GHISLAINE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-431-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D18251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0695",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131181600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260007226",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICARE",
            "identifier": "181035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "001786",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hill Pediatric Dentistry and Orthodontics (Hill Pediatric Dentistry)
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• Karlene-Anne Hill, D.D.S.
• Sharelle Hill
• Hillandale Opticians,Inc.
• Hillandale Pharmacy Inc (Hillandale Pharmacy)
• Leslie Hilleary, LCSW-C
• Gabrielle Hiller, LCSW-C
• Leslie Hillyer, PSY.D PYCH ASSOC

• Specialist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.