| Adult Behavioral Health Clinic | |
|
11002 Veirs Mill Rd # 705 Silver Spring MD 20902-2574 | |
| (240) 777-1384 | |
| Not Available |
| Full Name | Adult Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11002 Veirs Mill Rd # 705, Silver Spring, Maryland |
| Authorized Official Name and Position | Timothy Firestine (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2407772500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Behavioral Health Clinic 101 Monroe St Rockville MD 20850-2503 Ph: (240) 777-2500 | Adult Behavioral Health Clinic 11002 Veirs Mill Rd # 705 Silver Spring MD 20902-2574 Ph: (240) 777-1384 |
| NPI Number | 1104946482 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Medicare PECOS PAC ID | 4981675477 |
|---|---|
| Medicare Enrollment ID | O20040805001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104946482 | NPI | - | NPPES |
| 265391500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lidia R Carnota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235217233 PECOS PAC ID: 6608847199 Enrollment ID: I20040805001638 |
| Provider Name | Gustave Weiland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598826000 PECOS PAC ID: 1355357534 Enrollment ID: I20060224000413 |
| Provider Name | Maria R Peko-rios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871600288 PECOS PAC ID: 5395830715 Enrollment ID: I20071001000329 |
| Provider Name | David M Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023393469 PECOS PAC ID: 0042486177 Enrollment ID: I20111220000606 |
| Provider Name | Sarojini S Qasba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326233362 PECOS PAC ID: 6507097227 Enrollment ID: I20140324000124 |
| Provider Name | Cam Tu T Vu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821362617 PECOS PAC ID: 2860612470 Enrollment ID: I20141002001506 |
| Provider Name | Maria Castineira Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730382599 PECOS PAC ID: 9133341928 Enrollment ID: I20141111001688 |
| Provider Name | Rakesh K Bansil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811982499 PECOS PAC ID: 6800867839 Enrollment ID: I20171205000269 |
| Provider Name | Masiel A Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036238 PECOS PAC ID: 8022362896 Enrollment ID: I20181114000542 |
| Provider Name | Ana-maria Parra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639540776 PECOS PAC ID: 3779819461 Enrollment ID: I20190802000710 |
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