Organization Active NPI

Excel Psychiatric Consultation, PC

  • Psychiatry Physician
  • Germantown, MD
National Provider Identifier
1992101109
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EXCEL PSYCHIATRIC CONSULTATION, PC
Practice address
13238 Executive Park Ter
Germantown, MD 20874-2640
Phone
(301) 820-1715
Fax
(240) 597-1060
NPI assigned
Nov 16, 2014
Last updated
Nov 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Authorized official

Name
Farooq Amin, M.D.NPI 1194992032
Title
President
Phone
(301) 820-1715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

13238 Executive Park Ter
Germantown, MD 20874-2640

Mailing address

13238 Executive Park Ter
Germantown, MD 20874-2640
Phone (301) 820-1715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521003450 DC Part B Supplier - Clinic/Group Practice 0345769444 Receives reassigned benefits from 3 practitioners
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416096000000",
    "number": "1992101109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13238 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742640",
            "telephone_number": "301-820-1715",
            "fax_number": "240-597-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13238 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742640",
            "telephone_number": "301-820-1715",
            "fax_number": "240-597-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PSYCHIATRIC CONSULTATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-820-1715",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.