Medstar Medical Group Ii Llc

Psychiatry · Mitchellville, MD

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At a glance

12158 Central Ave, Mitchellville, MD 20721-1932

NPPES record updated Apr 18, 2022. Public records can lag behind changes at a practice.

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Practice location

12158 Central Ave
Mitchellville, MD 20721-1932
Professional details: NPI, taxonomy & registry record
NPI1629711627
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Registry details

Primary taxonomy
Psychiatry
Taxonomy code
2084P0800X
Enumeration date
Apr 18, 2022
Record updated
Apr 18, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Psychologist

103T00000X

Psychiatry

2084P0800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12158 Central Ave
Mitchellville, MD 20721-1932
Phone
(301) 430-2700
Mailing address
2000 15TH ST N STE 600

ARLINGTON, VA 222012900
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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