Organization Active NPI

Sound Mind Associates, LLC

  • Adult Mental Health Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1548824220
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOUND MIND ASSOCIATES, LLC
Practice address
15416 Symondsbury Way
Upper Marlboro, MD 20774-8052
Phone
(240) 381-5127
NPI assigned
Apr 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Authorized official

Name
Mr. Gregory Allen Roberts Jr., NCC, LPC
Title
Founder/Ceo
Phone
(240) 381-5127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

15416 Symondsbury Way
Upper Marlboro, MD 20774-8052

Mailing address

15416 Symondsbury Way
Upper Marlboro, MD 20774-8052
Phone (240) 381-5127

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556323200000",
    "number": "1548824220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15416 SYMONDSBURY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748052",
            "telephone_number": "240-381-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15416 SYMONDSBURY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748052",
            "telephone_number": "240-381-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-04-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "240-381-5127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.