Organization Active NPI

Holistic Telepsych & Med MGT. LLC

  • Adult Mental Health Clinic/Center
  • New Carrollton, MD
National Provider Identifier
1811689599
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on May 22, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.