Person Clinic LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PERSON CLINIC LLC

Practice address

10719 Kings Riding Way Apt 102
North Bethesda, MD 20852-5408

Phone

(240) 505-7272

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Iranpour

Title

Owner

Phone

(240) 505-7272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1700453065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10719 KINGS RIDING WAY APT 102",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208525408",
            "telephone_number": "240-505-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 KINGS RIDING WAY APT 102",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208525408",
            "telephone_number": "240-505-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "IRANPOUR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-505-7272"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.