The Primary Care Coalition of Montgomery County, Maryland

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY, MARYLAND

Practice address

7300 Calhoun PL Ste 600
Rockville, MD 20855-3701

Phone

(240) 777-4699

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Steven Galen

Title

President/Ceo

Phone

(301) 628-3469

Specialties & licenses 1

Addresses

Other names 1

• The Tree House Child Assessment Center Other name

Tax ID family

The Primary Care Coalition of Montgomery County Maryland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Primary Care Coalition of Montgomery County, Maryland, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1245642578
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Bonilla

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1447827670
  NPD (past)
• Sarah Elizabeth Frazell, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1407295801
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1780008003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 GEORGIA AVE FL 10",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL STE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208553701",
            "telephone_number": "240-777-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY, MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "GALEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-628-3469",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tree House Child Assessment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Rockville, MD
• Providers in Rockville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.