Active NPI
Holistic Telepsych & Med MGT. LLC
- Adult Mental Health Clinic/Center
- New Carrollton, MD
National Provider Identifier
1811689599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HOLISTIC TELEPSYCH & MED MGT. LLC
- Practice address
- 8306 Larchwood St
New Carrollton, MD 20784-3409 - Phone
- (301) 741-2232
- NPI assigned
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lewis Christopher Wilson, PSYCH NP
- Title
- Psychiatric Nurse Practitioner
- Phone
- (301) 741-2232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
8306 Larchwood St
New Carrollton, MD 20784-3409
Mailing address
8306 Larchwood St
New Carrollton, MD 20784-3409
Phone (301) 741-2232
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1811689599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8306 LARCHWOOD ST",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207843409",
"telephone_number": "301-741-2232",
"fax_number": "301-459-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8306 LARCHWOOD ST",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207843409",
"telephone_number": "301-741-2232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC TELEPSYCH & MED MGT. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LEWIS",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "301-741-2232",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PSYCH NP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Carrollton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.