Organization Active NPI

Neuroplacid Psychotherapy Inc.

  • Community/Behavioral Health Agency
  • Potomac, MD
National Provider Identifier
1770118119
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEUROPLACID PSYCHOTHERAPY INC.
Practice address
11108 Broad Green Dr
Potomac, MD 20854-2021
Phone
(301) 299-2921
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Ms. Bahar Javadi, MA, MS, LCPCNPI 1851772248
Title
Owner
Phone
(301) 717-9989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11108 Broad Green Dr
Potomac, MD 20854-2021

Mailing address

11108 Broad Green Dr
Potomac, MD 20854-2021
Phone (301) 299-2921

Other identifiers 1

IdentifierTypeStateIssuer
095112900MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1770118119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 BROAD GREEN DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542021",
            "telephone_number": "301-299-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 BROAD GREEN DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542021",
            "telephone_number": "301-299-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPLACID PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "JAVADI",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-717-9989",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095112900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.