Active NPI
Cornerstone Montgomery, Inc.
- Community/Behavioral Health Agency
- Prince Frederick, MD
National Provider Identifier
1699484394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CORNERSTONE MONTGOMERY, INC.
- Practice address
- 305 Prince Frederick Blvd
Prince Frederick, MD 20678-3139 - Phone
- (410) 535-4787
- Fax
- (410) 535-4965
- NPI assigned
- Nov 21, 2022
- Organization subpart
- Yes
- Parent organization
- CORNERSTONE MONTGOMERY, INC.
National Provider Directory
National Provider Directory- Tax ID family
- Cornerstone Montgomery Inc
- Part of
- Cornerstone Montgomery Inc
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NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Ostrowski
- Title
- Billing Manager
- Phone
- (301) 493-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
305 Prince Frederick Blvd
Prince Frederick, MD 20678-3139
Mailing address
2 Taft CT Ste 200
Rockville, MD 20850-1390
Phone (301) 715-3673
NPI Registry JSON
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1699484394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TAFT CT STE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501390",
"telephone_number": "301-715-3673",
"fax_number": "888-496-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 PRINCE FREDERICK BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783139",
"telephone_number": "410-535-4787",
"fax_number": "410-535-4965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE MONTGOMERY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORNERSTONE MONTGOMERY, INC.",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "OSTROWSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "301-493-4200"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.