Active NPI
Marium Parveen, M.D.
- Psychiatry Physician
- Gaithersburg, MD
National Provider Identifier
1740320134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0046457
- Practice address
- 15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404 - Phone
- (822) 814-6862
- Fax
- (240) 241-6445
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD30686 | DC | |
| Psychiatry Physician | 2084P0800X | D0046457 | MD | Primary |
Addresses
Primary practice location
15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Mailing address
15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Phone (822) 814-6862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0046457 | Other | MD | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30686 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Montgomery, Inc. | Current | Accepting new patients | |
| Cornerstone Montgomery, Inc. | Current | Accepting new patients | |
| Hagerstown Recovery LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Western Maryland Health Care Corporation | Past | Accepting new patients |
Locations
6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228
2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethesda, MD
- NPI 1194725739
DC
-
- Adult Mental Health Clinic/Center
- Silver Spring, MD
- NPI 1174995781
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Substance Abuse Rehabilitation Facility
- Derwood, MD
- NPI 1750093878
-
- Federally Qualified Health Center (FQHC)
- Bruceton Mills, WV
- NPI 1679269807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1740320134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15886 GAITHER DR STE B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771404",
"telephone_number": "822-814-6862",
"fax_number": "240-241-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15886 GAITHER DR STE B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771404",
"telephone_number": "822-814-6862",
"fax_number": "240-241-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARVEEN",
"first_name": "MARIUM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD30686",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0046457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D0046457",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.