MEDSTAR MEDICAL GROUP II LLC
NPI 1053874321
Psychiatry & Neurology - Psychiatry in Olney, MD

NPI Status: Active since April 12, 2019

Contact Information

18101 PRINCE PHILIP DR
OLNEY, MD
ZIP 20832
Phone: (301) 774-8860
Fax: (301) 774-8899

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 21D1011197
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-02-2027

About MEDSTAR MEDICAL GROUP II LLC

This page provides the complete NPI Profile along with additional information for Medstar Medical Group Ii Llc, a provider established in Olney, Maryland operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1053874321 assigned on April 2019. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Stephanie Schneider (Vp)

NPI
1053874321
Provider Name
MEDSTAR MEDICAL GROUP II LLC
Entity Type
Organization
Location Address
18101 PRINCE PHILIP DR OLNEY, MD 20832
Location Phone
(301) 774-8860
Location Fax
(301) 774-8899
Mailing Address
2000 15TH ST N STE 600 ARLINGTON, VA 22201
Mailing Phone
(703) 558-1400
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2019
Last Update Date
04-12-2019
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A psychiatrist like Medstar Medical Group Ii Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. STEPHANIE SCHNEIDER

Authorized Official Title
VP
Authorized Official Phone
(702) 558-1403

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D1011197
Facility Type
Physician Office
Certificate Effective Date
April 03, 2025
Certificate Expiration Date
April 02, 2027
Laboratory Director
CHRISTOPHER J. MAYS MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medstar Medical Group Ii Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEDSTAR MEDICAL GROUP II LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053874321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103167834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 6 + 7 + 8 + 3 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1053874321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114922341MONTGOMERY GENERAL HOSPITAL, INC.
Organization
General Acute Care Hospital18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8649
1710975040 JOHN E HERRING MD
Individual
Internal Medicine18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8900
1669460515 MICHAEL K KERR MD
Individual
Emergency Medicine18101 PRINCE PHILIP DR MONTGOMERY GENERAL HOSPITAL
OLNEY, MD 20832
(301) 774-8900
1417946112 KERRI H SUISSA MD
Individual
Emergency Medicine18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8900
1538136619 JANICE L BEDIAKO-SMITH PA
Individual
Physician Assistant (Medical)18101 PRINCE PHILIP DR MONTGOMERY GENERAL HOSPITAL
OLNEY, MD 20832
(301) 774-8900
1942248653MERIDIAN ANESTHESIA PRACTICE, L.L.C
Organization
Specialist18101 PRINCE PHILIP DR
OLNEY, MD 20832
(240) 364-2500
1720020936DR. ROGER LEONARD
Individual
Internal Medicine (Cardiovascular Disease)18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8918
1164465654 KIERSTEN HENRY
Individual
Nurse Practitioner18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8918
1225062896DR. JOHN ANDREW HAMEL V M.D.
Individual
Anesthesiology18101 PRINCE PHILIP DR DEPARTMENT OF ANESTHESIA
OLNEY, MD 20832
(301) 774-8618
1659306439 MARK WILLIAM MILLER MD
Individual
Internal Medicine (Sleep Medicine)18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8882
1295752061DR. KHALED ABDELGHANY KHALAFALLAH M.D.
Individual
Psychiatry & Neurology (Psychiatry)18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8860
1255350278DR. EMANUEL JOSEPH KOKOTAKIS M.D.
Individual
Internal Medicine18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8882
1255488698 LI-CHENG YEH MD
Individual
Specialist18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8618
1134277809 JANE ELLEN HERSHEY M.D.
Individual
Specialist18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8618
1134277999 KENNETH PAUL STEINBRUCKNER CRNP
Individual
Specialist18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8618
1750432092MONTGOMERY EKG LLP
Organization
Internal Medicine (Cardiovascular Disease)18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8882
1508909045MRS. SUMY CHACKO PA-C
Individual
Physician Assistant (Surgical)18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-4105
1609991140 MARIA T DEFENDINI MD
Individual
Anesthesiology18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 598-5100
1962525642MRS. ALLISON CHAPPELEAR MOFFETT P.A.-C
Individual
Physician Assistant (Surgical)18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8882
1003026402 BARBARA W. DAWSON CRNA
Individual
Nurse Anesthetist, Certified Registered18101 PRINCE PHILIP DR
OLNEY, MD 20832
(301) 774-8610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053874321, enumerated in the NPI registry as an "organization" on April 12, 2019

The provider is located at 18101 Prince Philip Dr Olney, Md 20832 and the phone number is (301) 774-8860

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider's CLIA number is 21D1011197 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 12, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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