NPIMap

Organization Active NPI

Green Ridge Behavioral Health, LLC

  • Neurology Physician
  • Frederick, MD
National Provider Identifier
1609283050
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0056459 Issued in MD
Legal business name
GREEN RIDGE BEHAVIORAL HEALTH, LLC
Practice address
5216 Chairmans Court
Suite 102
Frederick, MD 21703
Phone
(240) 683-6202
Fax
(240) 683-6203
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Narayanan Ramesh, M.D.NPI 1417950031
Title
Partner
Phone
(240) 683-6202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0056459 MD Primary

Addresses

Primary practice location

5216 Chairmans Court
Suite 102
Frederick, MD 21703

Mailing address

610 Professional Drive
Gaithersburg, MD 20897
Phone (240) 683-6202

National Provider Directory

National Provider Directory
Tax ID family
Green Ridge Behavioral Health LLC2 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.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1609283050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DRIVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20897",
            "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": "5216 CHAIRMANS COURT",
            "address_2": "SUITE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "240-683-6202",
            "fax_number": "240-683-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIDGE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "RAMESH",
        "authorized_official_first_name": "NARAYANAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "240-683-6202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0056459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.