NPIMap

Organization Active NPI

Cornerstone Montgomery, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Kensington, MD
National Provider Identifier
1871965400
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
4773-08 Issued in MD
Legal business name
CORNERSTONE MONTGOMERY, INC.
Practice address
10615 Parkwood Dr
Kensington, MD 20895-4067
Phone
(301) 493-4200
Fax
(301) 493-6209
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
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 4773-08 MD Primary

Addresses

Primary practice location

10615 Parkwood Dr
Kensington, MD 20895-4067

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": "1871965400",
    "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": "10615 PARKWOOD DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208954067",
            "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": "4773-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, 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.