Organization Active NPI

PSM Health, LLC.

Doing business as PSM Adult Medical Center

  • Adult Day Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1568965317
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
16-010-A Issued in MD
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2144868PSM Adult Medical Center13970 Baltimore Avenue C-9, Laurel, MD 20707Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.