Adia Kelly Cobb, M.D. | NPI 1881037331

Key facts

NPI: 1881037331
Entity type: Individual (NPI type 1)
Primary specialty: Child & Adolescent Psychiatry Physician 2084P0804X
License: D0090673 (MD)
Practice address: 4350 E West Hwy Ste 200
Bethesda, MD 20814-4426
Phone: (301) 970-4001
NPI assigned: Apr 15, 2013
Sex: Female
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Healthy Foundations, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Bethesda, MD · NPI 1740729581

NPD
Teladoc Health Medical Group, P.a. Family Medicine Physician · Lewisville, TX · NPI 1245403567

NPD PSYCHIATRY
HFG Holdings, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Bethesda, MD · NPI 1215336706

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
036.145417	IL	MD	Child & Adolescent Psychiatry Physician
D0090673	MD	MD	Child & Adolescent Psychiatry Physician
25MA09862600	NJ	MD	Child & Adolescent Psychiatry Physician

Practice roles

Organization	Specialty	Status	New patients
Healthy Foundations, LLC		Current since May 25, 2021	Accepting new patients
Teladoc Health Medical Group, P.a.	Psychiatry	Current	Accepting new patients
HFG Holdings, LLC		Past since May 25, 2021	Accepting new patients

Locations

4350 East West Hwy
Ste 200
Bethesda, MD 20814
Phone (301) 970-4001

Interoperability endpoints

Direct secure messaging: adiacobb@tdh.allscriptsdirect.net
Direct secure messaging: adiacobb@fhcnoi.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	01080073A	IN
Child & Adolescent Psychiatry Physician	2084P0804X	25MA09862600	NJ
Child & Adolescent Psychiatry Physician	2084P0804X	036.145417	IL
Child & Adolescent Psychiatry Physician	2084P0804X	D0090673	MD	Yes

Addresses

Primary practice location

4350 E West Hwy Ste 200
Bethesda, MD 20814-4426

Mailing address

13926 Hull Street Rd # 2000
Midlothian, VA 23112-2004
Phone (096) 351-3842

Other practice location 1

4525 N Ravenswood Ave Ste 201
Chicago, IL 60640
Phone (312) 857-8794

Other providers in Bethesda, MD

Nakita Cline-Smythe
Clinical Research Group
Clinical Social Workers Inc
Meghan Co, LCSW-C, LICSW
Peter David Coakley, MB BCH BAO BA MRCPI
Anne Miller Cobb, R.N.
Pollara A Cobb, MD
Seamus Michael Cobb, M.D.
Charles Cobbs IV, MD
John Patrick Cody, M.D.

All providers in Bethesda, MD · Child & Adolescent Psychiatry Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.