NPIMap

Organization Active NPI

Suburban Hospital, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Bethesda, MD
National Provider Identifier
1891979845
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SUBURBAN HOSPITAL, INC
Practice address
6410 Rockledge Dr Ste 150
Bethesda, MD 20817-1829
Phone
(301) 896-6083
NPI assigned
Dec 27, 2007
Organization subpart
Yes
Parent organization
SUBURBAN HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Ms. Jessica Melton
Title
President
Phone
(301) 896-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

6410 Rockledge Dr Ste 150
Bethesda, MD 20817-1829

Mailing address

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Other names 1

  • Suburban Hospital Addiction Treatment Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051220000256 DC Part B Supplier - Clinic/Group Practice 5395774368 Receives reassigned benefits from 6 practitioners
Practice locations: Bethesda, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Pulm Dis Suburban Hosp

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

6001 Montrose Rd
Ste 102
Rockville, MD 20852
Phone (301) 896-2036

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1891979845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141422",
            "telephone_number": "301-896-3100",
            "fax_number": "301-896-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 150",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171829",
            "telephone_number": "301-896-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBURBAN HOSPITAL, INC.",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-896-2574",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Hospital Addiction Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.