NPIMap

Organization Active NPI

Cornerstone Montgomery, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Takoma Park, MD
National Provider Identifier
1831561463
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
4769-08 Issued in MD
Legal business name
CORNERSTONE MONTGOMERY, INC.
Practice address
8205 Houston CT
Takoma Park, MD 20912-6247
Phone
(301) 493-4200
Fax
(301) 493-6209
NPI assigned
Oct 22, 2015
Organization subpart
Yes
Parent organization
CORNERSTONE MONTGOMERY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Gwendolyn Zecha
Title
Cfo
Phone
(301) 896-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 4769-08 MD Primary

Addresses

Primary practice location

8205 Houston CT
Takoma Park, MD 20912-6247

Mailing address

6040 Southport Dr
Bethesda, MD 20814-1848
Phone (301) 493-4200

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Montgomery Inc41 organizations share this tax ID, including this one
Part of
Cornerstone Montgomery Inc

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1831561463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 SOUTHPORT DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141848",
            "telephone_number": "301-493-4200",
            "fax_number": "301-493-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 HOUSTON CT",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126247",
            "telephone_number": "301-493-4200",
            "fax_number": "301-493-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MONTGOMERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE MONTGOMERY, INC.",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "ZECHA",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-896-4262"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "4769-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.