MEDSTAR MEDICAL GROUP II LLC (NPI# 1215580618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215580618 |
| Entity Type | Organization |
| Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Practice Address |
4151 Bladensburg Rd Colmar Manor MD 20722-1928 |
| Mailing Address |
2000 15th St N Ste 600 Arlington VA 22201-2900 |
| Practice Telephone | 3016997700 |
| Practice Fax Number | 3017799001 |
| Mailing Telephone | 7035581400 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | MS. STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7025581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMG Psych at Fort Lincoln | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1437765104 | Medstar Medical Group II LLC | Health Educator | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2020-09-18 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1538704416 | Medstar Medical Group II LLC | Clinic/Center | 3800 Reservoir Rd Nw, 1 Bles, Washington, DC 20007-2113 | 2019-11-14 |
| 1093368409 | Medstar Medical Group II LLC | Psychiatry & Neurology | 5601 Loch Raven Blvd Ste 406, Baltimore, MD 21239-2949 | 2019-07-24 |
| 1053874321 | Medstar Medical Group II LLC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-04-12 |
| 1013489368 | Medstar Medical Group II LLC | Psychiatry & Neurology | 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 | 2018-12-27 |
| 1184046187 | Medstar Medical Group II LLC | General Practice | 5601 Loch Raven Blvd, Russell Morgan Bldg 3rd Fl, Baltimore, MD 21239-2945 | 2014-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedStar Medical Group II LLC | 10980 Grantchester Way, Columbia, Maryland 20708 |
| Street Address |
4151 BLADENSBURG RD |
| City | COLMAR MANOR |
| State | MD |
| Zip Code | 20722-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203496 | Kathryn Vaughn | Family Medicine | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2006-02-08 |
| 1104454339 | Jasmine Ciera Bryant Skinner | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2020-04-01 |
| 1366070013 | Jorge Daniel Flautero Arcos | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2020-03-30 |
| 1770111288 | Arianne Wilson | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2020-03-30 |
| 1639707359 | Nolan P Patel | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2020-03-29 |
| 1275093353 | Rebecca Fujimura | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2019-03-23 |
| 1033679584 | Larissa Assam | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2019-03-21 |
| 1336609056 | Iyesha Renita Robinson | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2019-03-20 |
| 1104314301 | Trent Ivan Hope | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2018-04-24 |
| 1578050613 | James Fox Conti | Student in an Organized Health Care Education/Training Program | 4151 Bladensburg Rd, Colmar Manor, MD 20722 | 2018-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689099053 | U.S. Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 4010 Bladensburg Rd, Brentwood, MD 20722 | 2014-02-21 |
| 1437696796 | Melba Calderon | Social Worker | 4411 34th St, Brentwood, MD 20722-1001 | 2017-01-25 |
| 1790228740 | Brianna Charlton | Home Health Aide | 3511 Windom Rd, Apt 4, Brentwood, MD 20722-1046 | 2016-11-23 |
| 1861093056 | Melvin Santamaria | Nurse's Aide | 3804 Allison St, Brentwood, MD 20722-1111 | 2020-11-04 |
| 1497017438 | Maria Aqueta Lovo | Home Health Aide | 3911 Webster St, Brentwood, MD 20722-1118 | 2012-06-14 |
| 1568957934 | Ogochukwu O Uche | Home Health Aide | 4522 41st Ave, North Brentwood, MD 20722-1213 | 2018-06-27 |
| 1225161821 | Dimensions Health Corporation | Clinic/Center | 3601 Taylor St, Brentwood, MD 20722-1300 | 2007-03-13 |
| 1710543178 | Community Crisis Services, Inc | Public Health or Welfare | 3601 Taylor St, Brentwood, MD 20722-1300 | 2019-05-11 |
| 1962892851 | Family Crisis Center of Prince Georges' County, Inc. | Social Worker | 3601 Taylor St, Brentwood, MD 20722-1300 | 2015-01-29 |
| 1104151935 | Success Is Yours Inc. | Clinic/Center | 3601 Taylor St, Brentwood, MD 20722-1300 | 2009-10-13 |
| Find all providers in zip 20722 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294403 | Healing Connections Mental Health | Psychiatry & Neurology | 9030 Bethel Rd, Frederick, MD 21702-2004 | 2020-11-01 |
| 1316554793 | G & E Behavioral Health Services, LLC | Psychiatry & Neurology | 224 N Gay Street 2nd Floor, Baltimore, MD 21202-1511 | 2020-09-29 |
| 1114532454 | American Psychiatric Care LLC | Psychiatry & Neurology | 11886 Healing Way Ste 504, Silver Spring, MD 20904-7917 | 2020-09-14 |
| 1942815865 | Louis-jacques Health, LLC | Psychiatry & Neurology | 8110 Bethel Lane, Savage, MD 20763-5546 | 2020-09-09 |
| 1154949402 | Wallace Philip Shaw | Psychiatry & Neurology | Clinical Center Nih, Bethesda, MD 20892-0001 | 2020-07-13 |
| 1427676071 | Equilibrium Behavioral Health LLC | Psychiatry & Neurology | 821 Key Hwy, Baltimore, MD 21230-3921 | 2020-07-10 |
| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1982226924 | Child and Adult Psychiatry Services LLC | Psychiatry & Neurology | 6024 Pure Sky Pl, Clarksville, MD 21029-1238 | 2020-05-13 |
| 1992327068 | Emros Behavioral Healthcare Services LLC | Psychiatry & Neurology | 700 Henderson Rd, Bel Air, MD 21014-2515 | 2020-05-12 |
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | COLMAR MANOR |
| Zip Code | 20722 |
Please comment or provide details below to improve the information on MEDSTAR MEDICAL GROUP II LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.