Guidelight Mental Health, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GUIDELIGHT MENTAL HEALTH, LLC

Practice address

3717 Decatur Ave Ste 1
Kensington, MD 20895-2148

Phone

(301) 980-3997

NPI assigned

Aug 20, 2019

Organization subpart

No

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

Authorized official

Name

Michael Milgraum, PH.D.

Title

Owner

Phone

(301) 980-3997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1447807953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 DECATUR AVE STE 1",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952148",
            "telephone_number": "301-980-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 DECATUR AVE STE 1",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952148",
            "telephone_number": "301-980-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDELIGHT MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "MILGRAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-980-3997",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Greene, LCSW-C
• Patricia D Greene, MS CCCA
• Zachary Durand Grogan
• Emily Rachel Grossi, OTR/L
• Gruner Medical Services, P.C.
• Riya Gupta
• Ian Alexander Gutierrez, PHD
• Mohammad Haikal
• Annette P Hall-Finney
• Kathleen Elizabeth Hambrecht

• Psychologist in Kensington, MD
• Providers in Kensington, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.