Main Place Addiction Treatment Center LLC.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MAIN PLACE ADDICTION TREATMENT CENTER LLC.

Practice address

915 Toll House Ave
Frederick, MD 21701-5930

Phone

(240) 575-1324

Fax

(301) 682-2053

NPI assigned

Jul 23, 2014

Last updated

Oct 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Marie Geyer

Title

Program Director

Phone

(240) 575-1324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1619385630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014854",
            "telephone_number": "240-575-1324",
            "fax_number": "301-682-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TOLL HOUSE AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015930",
            "telephone_number": "240-575-1324",
            "fax_number": "301-682-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PLACE ADDICTION TREATMENT CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "GEYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "240-575-1324"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319411600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Maher, M.D.
• Omar K Mahmassani, D.D.S.
• Syed Kashif Mahmood, M.D.
• Chrissy Mahoney
• Betty Mai, PHARMD
• Main Place Treatment Centers LLC.
• Main Place Treatment Centers LLC.
• Nicole Maisel
• Rachelle Leigh Maisel, OT
• David Raymond Maish, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.