Active NPI
Montgomery Recovery Services, Inc
- Methadone Clinic
- Rockville, MD
National Provider Identifier
1922206325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 903006
- Legal business name
- MONTGOMERY RECOVERY SERVICES, INC
- Practice address
- 14636 Rothgeb Dr
Rockville, MD 20850-5394 - Phone
- (301) 762-5300
- NPI assigned
- Jul 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Herbert Howard, C.C.D.C
- Title
- Program Sponsor
- Phone
- (301) 762-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 903006 | MD | Primary |
Addresses
Primary practice location
14636 Rothgeb Dr
Rockville, MD 20850-5394
Mailing address
14636 Rothgeb Dr
Rockville, MD 20850-5394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191223000644 | DC | Part B Supplier - Opioid Treatment Program (Otp) | 3678907813 | Practice locations: Rockville, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2312257 | Montgomery Recovery Services | Certificate of waiver | Oct 7, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Derwood, MD
- NPI 1891127973
-
- Primary Care Nurse Practitioner
- Cumberland, MD
- NPI 1730841727
-
- Addiction Medicine (Family Medicine) Physician
- Rockville, MD
- NPI 1275684771
-
- Nurse Practitioner
- San Diego, CA
- NPI 1194971283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1922206325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14636 ROTHGEB DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14636 ROTHGEB DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505394",
"telephone_number": "301-762-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY RECOVERY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "HERBERT",
"authorized_official_title_or_position": "PROGRAM SPONSOR",
"authorized_official_telephone_number": "301-762-5300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.C.D.C"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "MD",
"license": "903006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
- Montgomery Oncology Care and Hematology PC
- Montgomery Oral & Facial Surgery
- Montgomery Oral & Facial Surgery, LLC
- Montgomery Oral & Facial Surgery, LLC
- Montgomery Pediatric Dental Partners, LLC
- Montgomery Surgery Center Limited Partnership
- Montgomery Therapy, LLC
- Montgomery Women'S Medical Center, P.C.
- Montgomery-Community Magnetic Imaging CNTR LTD Partnership
- Daesha Montgomery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.