NPIMap

Organization Active NPI

Premier Health Care LLC

  • Psychiatry Physician
  • Beltsville, MD
National Provider Identifier
1841718608
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PREMIER HEALTH CARE LLC
Practice address
4600 Powder Mill Rd Ste Z1
Beltsville, MD 20705
Phone
(240) 396-5873
Fax
(240) 318-5850
NPI assigned
Aug 31, 2017
Last updated
Jul 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Gwendolyn Lindsey
Title
Practice Manager
Phone
(301) 979-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4600 Powder Mill Rd Ste Z1
Beltsville, MD 20705

Mailing address

8023 Malcolm Rd FL 1
Clinton, MD 20735-1717
Phone (240) 396-5836

National Provider Directory

National Provider Directory
Tax ID family
Premier Health Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4600 Powder Mill Rd
Ste Z1
Beltsville, MD 20705
Phone (240) 396-5873

8023 Malcolm Rd
Fl 1
Clinton, MD 20735

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1841718608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 MALCOLM RD FL 1",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351717",
            "telephone_number": "240-396-5836",
            "fax_number": "301-681-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE Z1",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "240-396-5873",
            "fax_number": "240-318-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-979-8300"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.