GEMINI HEALTH HOLDINGS LLC (NPI# 1649800020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649800020 |
| Entity Type | Organization |
| Organization Name | GEMINI HEALTH HOLDINGS LLC |
| Practice Address |
6816 Deerpath Rd Elkridge MD 21075-6200 |
| Mailing Address |
2702 Back Acre Cir Ste 290b Mount Airy MD 21771-7769 |
| Practice Telephone | 3017038767 |
| Practice Fax Number | 3017038886 |
| Mailing Telephone | 4437019295 |
| Mailing Fax Number | 3017038886 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | DR. SUDHIR RAO (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4437019295 |
| Authorized Official Credential | AUTHORIZED SIGNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1704 Back Acre Cir, Mount Airy, MD 217717768 | 3017038767 | 3017038886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1487280087 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-16 |
| 1487280152 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-13 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
| Street Address |
6816 DEERPATH RD |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182240 | Pediatric Gastroenterology Specialists of Maryland LLC | Pediatrics | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-09-01 |
| 1487280152 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-13 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1467087023 | Angela Keck | Counselor | 6816 Deerpath Rd, Elkridge, MD 21075-7392 | 2020-03-04 |
| 1487169769 | Elkridge Asc LLC | Clinic/Center | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-12-07 |
| 1285149567 | Gemini Asc Elkridge LLC | Clinic/Center | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1811519564 | Womens Healing Center LLC | Clinic/Center | 8167 Main St Ste 206, Ellicott City, MD 21043-4776 | 2020-05-15 |
| 1942821004 | Western Maryland Psychology LLC | Clinic/Center | 14407 Marsh Pike, Hagerstown, MD 21742-1647 | 2020-04-29 |
| 1295355352 | Bright Care Solutions LLC | Clinic/Center | 8702 Castlerock Ct, Laurel, MD 20723-2702 | 2020-04-19 |
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| 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.