Individual provider Active NPI

Samina M. Yousufi, M.D.

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1487608196
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0062750 Issued in MD
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

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010176972MedicaidVA
036815600MedicaidDC
408007600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050621000600 DC Practitioner - Psychiatry 6507801511 Reassigns benefits to 2 organizations
I20061121000711 MD Practitioner - Psychiatry 6507801511 Reassigns benefits to 1 organization

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
Green Ridge Behavioral Health, LLCGroup PAC ID 3476685181, 10 clinicians

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

LicenseStateTypeSpecialty
MD034871DCMDPsychiatry Physician
D0062750MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Ridge Behavioral Health, LLC CurrentSince Apr 19, 2010 Accepting new patients
Premier Health Care LLC CurrentSince Aug 1, 2015 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

  • Direct secure messaging: yousufi.samina.009.0200009@grbh.meditab.direct-ci.com
  • Direct secure messaging: yousufi.samina.008.0200009@grbh.meditab.direct-ci.com
  • Direct secure messaging: syousufi801964@direct.umm.edu
  • Direct secure messaging: yousufi.samina.013.0200009@grbh.meditab.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.