NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as Gaithersburg HS School Based Wellness Center

  • Student Health Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1720429194
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Doing business as
Gaithersburg HS School Based Wellness Center
Practice address
314 S Frederick Ave
Gaithersburg, MD 20877-2307
Phone
(240) 777-1571
Fax
(301) 284-4701
NPI assigned
Jul 12, 2013
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Diana Azucena Cortez
Title
Management
Phone
(240) 672-6758

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Student Health Clinic/Center 261QS1000X Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X

Addresses

Primary practice location

314 S Frederick Ave
Gaithersburg, MD 20877-2307

Mailing address

401 Hungerford Dr FL 6
Rockville, MD 20850-4154
Phone (240) 777-4520

Other names 1

  • Gaithersburg HS School Based Wellness Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2082829Gaithersburg High School Wellness Center314 South Frederick Avenue, Gaithersburg, MD 20877Provider-performed microscopyAug 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dept of HLTH Human SV99 organizations share this tax ID, including this one
Part of
Dept of HLTH Human SV

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

Locations

314 S Frederick Ave
Gaithersburg, MD 20877
Phone (240) 777-1571

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1720429194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-777-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S FREDERICK AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772307",
            "telephone_number": "240-777-1571",
            "fax_number": "301-284-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2013-07-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "AZUCENA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "240-672-6758"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaithersburg HS School Based Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.