Active NPI
Samina M. Yousufi, M.D.
- Psychiatry Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0062750
- Practice address
- 1395 Piccard Dr Ste 320
Rockville, MD 20850-4349 - Phone
- (240) 683-6202
- Fax
- (240) 683-6203
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD034871 | DC | |
| Psychiatry Physician | 2084P0800X | D0062750 | MD | Primary |
Addresses
Primary practice location
1395 Piccard Dr Ste 320
Rockville, MD 20850-4349
Mailing address
610 Professional Drive
Suite 255
Gaithersburg, MD 20879
Phone (240) 683-6202
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010176972 | Medicaid | VA | |
| 036815600 | Medicaid | DC | |
| 408007600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1395 Piccard Dr
Suite 320
Rockville, MD 20850-4349
Phone (240) 683-6202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034871 | DC | MD | Psychiatry Physician |
| D0062750 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Ridge Behavioral Health, LLC | Current | Accepting new patients | |
| Premier Health Care LLC | Current | Accepting new patients | |
| Premier Health Care, LLC | Psychiatry | Current | Accepting new patients |
| Green Ridge Behavioral Health, LLC | Past | Accepting new patients | |
| Dimensions Health Corporation | Past | Accepting new patients | |
| Premier Health Care LLC | Psychiatry | Past | Accepting new patients |
| Green Ridge Behavioral Health, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
610 Professional Dr
Ste 255
Gaithersburg, MD 20879
Phone (240) 683-6202
1395 Piccard Dr
Ste 320
Rockville, MD 20850
Phone (240) 683-6202
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
Interoperability endpoints
- yousufi.samina.009.0200009@grbh.meditab.direct-ci.com
- yousufi.samina.008.0200009@grbh.meditab.direct-ci.com
- syousufi801964@direct.umm.edu
- yousufi.samina.013.0200009@grbh.meditab.direct-ci.com
- yousufi.samina.004.0200009@grbh.meditab.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Clinton, MD
- NPI 1528538758
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Neurology Physician
- Silver Spring, MD
- NPI 1285041616
-
- Neurology Physician
- Frederick, MD
- NPI 1609283050
-
- Psychiatry Physician
- Silver Spring, MD
- NPI 1871962548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1487608196",
"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": "1395 PICCARD DR STE 320",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504349",
"telephone_number": "240-683-6202",
"fax_number": "240-683-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSUFI",
"first_name": "SAMINA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD034871",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0062750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010176972",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036815600",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408007600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.