NPIMap

Organization Active NPI

Montgomery County Maryland Government

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
National Provider Identifier
1679997472
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Practice address
1301 Piccard Dr
Rockville, MD 20850-4320
Phone
(240) 777-1360
NPI assigned
Feb 13, 2014
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Mr. Timothy Firestine
Title
Chief Administrative Officer
Phone
(240) 777-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1301 Piccard Dr
Rockville, MD 20850-4320

Mailing address

101 Monroe St
Rockville, MD 20850-2503
Phone (240) 777-2500

Other names 1

  • Trauma Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001631 DC Part B Supplier - Clinic/Group Practice 4981675477 Receives reassigned benefits from 74 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silver Spring, MD; Wheaton, MD; Rockville, MD; Germantown, MD

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1679997472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MONROE ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502503",
            "telephone_number": "240-777-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PICCARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504320",
            "telephone_number": "240-777-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "FIRESTINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "240-777-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trauma Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.