Psychiatry Specialities Clinics, LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

PSYCHIATRY SPECIALITIES CLINICS, LLC

Practice address

3525 Ellicott Mills Dr Ste G
Ellicott City, MD 21043-4638

Phone

(410) 988-8092

Fax

(443) 420-7875

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Miss Rinu Pradhan

Title

Office Manager

Phone

(410) 988-8092

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 7

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

• Canicia Anyiatem, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
  • NPI 1932465382
  Medicare reassignment Care Compare group NPD
• Bikash Sharma, M.D.

  • Addiction Psychiatry Physician
  • Ellicott City, MD
  • NPI 1841454964
  Medicare reassignment Care Compare group NPD
• Elaine Margaret Bain, PH.D. LC PC

  • Professional Counselor
  • Ellicott City, MD
  • NPI 1215927306
  NPD (past)
• Rasmi Bhattarai

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
  • NPI 1831886530

  Single Specialty

  NPD (past)
• Angela Frazee, LCPC

  • Professional Counselor
  • Ellicott City, MD
  • NPI 1700324670
  NPD (past)
• Leila Marie Malavite, D.AC., L.AC.

  • Acupuncturist
  • Ellicott City, MD
  • NPI 1073267597
  NPD (past)
• Lawrence Rakhmanov, LCPC

  • Mental Health Counselor
  • Ellicott City, MD
  • NPI 1073042057
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1851864037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ELLICOTT MILLS DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434547",
            "telephone_number": "410-988-8092",
            "fax_number": "443-420-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ELLICOTT MILLS DR STE G",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434638",
            "telephone_number": "410-988-8092",
            "fax_number": "443-420-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY SPECIALITIES CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "RINU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-988-8092",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345025200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alissa G Putman, PHD
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• Emily Wilson Pyne, FNP-C

• Addiction Psychiatry Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Addiction Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.