Psychotherapeutic Rehabilation Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHOTHERAPEUTIC REHABILATION SERVICES

Practice address

337 Brightseat Rd
Suite 106 & 107
Landover, MD 20785-4736

Phone

(301) 499-6870

Fax

(301) 499-1448

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Randall Cooper, CPA

Title

Cfo

Phone

(410) 778-9114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Oscar Galvis, M.D.

  • Psychiatry Physician
  • Towson, MD
  • NPI 1275517567
  NPD (past)
• Umar Farooq Rahman, MD

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1376633321
  NPD (past)
• Kumudini Attanagoda, MD

  • Psychiatry Physician
  • Washington, DC
  • NPI 1891801460
  NPD (past)
• Itoro Ibia, M.D.

  • Child & Adolescent Psychiatry Physician
  • Reston, VA
  • NPI 1356338206
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1356484547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HIGH STREET",
            "address_2": "SUITE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203909",
            "telephone_number": "410-778-9114",
            "fax_number": "410-778-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BRIGHTSEAT RD",
            "address_2": "SUITE 106 & 107",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854736",
            "telephone_number": "301-499-6870",
            "fax_number": "301-499-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC REHABILATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-778-9114",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589411500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prince Georges County Health Department
• Prince Georges Multi Specialty Surgery Center
• Prince Georges Post Acute LLC (FutureCare Capital Region)
• Prince Georges Post Acute LLC (Futurecare Capital Region)
• Brittany Alexis Proctor Fells
• Psychotherapeutic Rehabilitation Services, Inc
• Psychotherapeutic Services of Southern Maryland
• Katie Purcell
• Carla Pyles
• Camilla Queen

• Psychiatry Physician in Landover, MD
• Providers in Landover, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.