Organization Active NPI

Capital Mental Health Associates LLC

  • Psychiatry Physician
  • Hagerstown, MD
National Provider Identifier
1962695643
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0024785 Issued in MD
Legal business name
CAPITAL MENTAL HEALTH ASSOCIATES LLC
Practice address
431 Dual Hwy
Hagerstown, MD 21740-5713
Phone
(240) 297-3449
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Kathryn High
Title
Office Manager
Phone
(240) 297-3449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X D0024785 MD Primary

Addresses

Primary practice location

431 Dual Hwy
Hagerstown, MD 21740-5713

Mailing address

14035 Edgemont Rd
Smithsburg, MD 21783-1234

Other identifiers 7

IdentifierTypeStateIssuer
2299444OtherMDCIGNA
07910001OtherMDCARE FIRST BLUE CROSS BLU
88924103OtherDCCARE FIRST BLUE CTOSS BLU
M575051OtherMDVALUE OPTIONS
1272217MedicaidMD
7417824OtherMDAETNA
779940OtherMDNCPPO

National Provider Directory

National Provider Directory

Locations

1776 I St NW
Ste 900
Washington, DC 20006
Phone (240) 297-3449

4640 Forbes Blvd
Ste 320
Lanham, MD 20706
Phone (240) 297-3449

Practitioners & affiliated clinicians

Practitioners 1

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1962695643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14035 EDGEMONT RD",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "217831234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405713",
            "telephone_number": "240-297-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MENTAL HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "HIGH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-297-3449"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0024785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2299444",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLU",
            "identifier": "07910001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CTOSS BLU",
            "identifier": "88924103",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "M575051",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1272217",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7417824",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "779940",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.