NPIMap

Organization Active NPI

Montgomery County Maryland Government

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockville, MD
National Provider Identifier
1609697804
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Practice address
1500 E Gude Dr
Rockville, MD 20850-5307
Phone
(240) 777-0311
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Mrs. Jameelah Johnson, JM-HL, MPH, MBA-HCM
Title
Manager
Phone
(240) 773-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1500 E Gude Dr
Rockville, MD 20850-5307

Mailing address

401 Hungerford Dr FL 6
Rockville, MD 20850-4154
Phone (240) 773-1211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Nextgen Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Mont Co Dept of Health99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1609697804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-773-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E GUDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505307",
            "telephone_number": "240-777-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMEELAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-773-1211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JM-HL, MPH, MBA-HCM"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nextgen",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 E Gude Dr",
            "address_2": "DWI Court",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208505307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.