Organization Active NPI

MRB Counseling Services, Inc.

Doing business as Ryan Rehabilitation

  • Community/Behavioral Health Agency
  • Gaithersburg, MD
National Provider Identifier
1548318611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCA372 Issued in MD
Legal business name
MRB COUNSELING SERVICES, INC.
Doing business as
Ryan Rehabilitation
Practice address
315 E Diamond Ave
Suite a
Gaithersburg, MD 20877-3071
Phone
(301) 527-0854
Fax
(240) 243-1061
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maria Rosa Bustos, PHD
Title
Director
Phone
(301) 527-0854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCA372 MD Primary

Addresses

Primary practice location

315 E Diamond Ave
Suite a
Gaithersburg, MD 20877-3071

Mailing address

1029 Bexhill Drive
Frederick, MD 21702
Phone (301) 512-0663

Other names 1

  • RYAN REHABILITATION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MRB Counseling Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548318611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 BEXHILL DRIVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-512-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E DIAMOND AVE",
            "address_2": "SUITE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773071",
            "telephone_number": "301-527-0854",
            "fax_number": "240-243-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRB COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-527-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LCA372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYAN REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.