Potomac Pathways, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

905755 Issued in MD

Legal business name

POTOMAC PATHWAYS, LLC

Practice address

7945 Macarthur Blvd
Suite 214
Cabin John, MD 20818

Phone

(301) 987-7284

Fax

(240) 630-8847

NPI assigned

Jun 6, 2008

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brooke H Brody, LCSW-C, LCADC

Title

Owner

Phone

(301) 987-7284

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1881853620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 MACARTHUR BLVD",
            "address_2": "SUITE 214",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "20818",
            "telephone_number": "301-987-7284",
            "fax_number": "240-630-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 MACARTHUR BLVD",
            "address_2": "SUITE 214",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "20818",
            "telephone_number": "301-987-7284",
            "fax_number": "240-630-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-987-7284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12360",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Myers
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• Christopher Peckham, LCPC
• David Pickar, M.D.
• Pinnacle Reflections Therapeutic Services, LLC
• Andrew Nathan Rhein, PH.D.
• Harry Rieckelman
• Leela Deanne Rieckelman
• Lori Rieckelman, LCSW-C
• Rebecca Burkett Robison, LICSW

• Community/Behavioral Health Agency in Cabin John, MD
• Providers in Cabin John, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.