Active NPI
PSM Health, LLC.
Doing business as PSM Adult Medical Center
- Adult Day Care Clinic/Center
- Laurel, MD
National Provider Identifier
1568965317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 16-010-A
- Legal business name
- PSM HEALTH, LLC.
- Doing business as
- PSM Adult Medical Center
- Practice address
- 13970 Baltimore Ave # C-9
Laurel, MD 20707-5086 - Phone
- (240) 720-6589
- NPI assigned
- Mar 16, 2018
- Last updated
- Mar 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheel Patel
- Title
- Assistant Director
- Phone
- (240) 720-6589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 16-010-A | MD | Primary |
Addresses
Primary practice location
13970 Baltimore Ave # C-9
Laurel, MD 20707-5086
Mailing address
14901 River Rd
Potomac, MD 20854-6029
Other names 1
- PSM Adult Medical Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2144868 | PSM Adult Medical Center | Certificate of waiver | Feb 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
13970 Baltimore Ave
#C9
Laurel, MD 20707
Phone (240) 720-6589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521158400000",
"number": "1568965317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 RIVER RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13970 BALTIMORE AVE # C-9",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075086",
"telephone_number": "240-720-6589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSM HEALTH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SHEEL",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR",
"authorized_official_telephone_number": "240-720-6589"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "MD",
"license": "16-010-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PSM Adult Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.