NPIMap

Organization Active NPI

Qci Behavioral Health

  • Health Maintenance Organization
  • Largo, MD
National Provider Identifier
1700019577
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LGP3065 Issued in MD
Legal business name
QCI BEHAVIORAL HEALTH
Practice address
9475 Lottsford Rd
Largo, MD 20774-5357
Phone
(301) 636-6504
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Sonali G Sharma, M.S., M.A., LGPC
Title
Therapist
Phone
(301) 636-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LGP3065 MD Primary

Addresses

Primary practice location

9475 Lottsford Rd
Largo, MD 20774-5357

Mailing address

9475 Lottsford Rd
Largo, MD 20774-5357
Phone (301) 636-6504

National Provider Directory

National Provider Directory

Locations

9475 Lottsford Rd
Upper Marlboro, MD 20774
Phone (301) 636-6504

Practitioners & affiliated clinicians

Practitioners 6

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1700019577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QCI BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SONALI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "301-636-6504",
        "authorized_official_credential": "M.S., M.A., LGPC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": "LGP3065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.