Patric Colin Farrell

Key facts

NPI

1962239079

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

7945 Macarthur Blvd # 2147945
Cabin John, MD 20818-1634

Phone

(301) 686-5972

NPI assigned

Sep 14, 2024

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2024.

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1962239079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 COLTON CRAWFORD CIR APT 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422285",
            "telephone_number": "301-974-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 MACARTHUR BLVD # 2147945",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181634",
            "telephone_number": "301-686-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "PATRIC",
        "middle_name": "COLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabin John, MD

• Mary Louise Craver, MOT, OTR/L
• Dipika Satyen Daga, LGPC
• Heather Gail Dailey, CRNA
• Jorge Dionisio, LCSW-C
• Sylvia Alexandra Edelstein, MD
• Adam Freidfertig, LGPC
• Patricia Frischtak, M.D.
• Glow Wellness LLC
• Heather Leigh Gustafson
• Ahmed Essam Hefuna, M.D.

All providers in Cabin John, MD · Mental Health Counselor in Maryland