Green Ridge Behavioral Health, LLC
NPI 1407088339ActiveOrganization· Psychiatry & Neurology, Neurology· Rockville, MD
Psychiatry & Neurology, Neurology in Rockville, Maryland, registered in NPPES in August 2009. The authorized official on file is Samina Yousufi, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1407088339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2009 |
| Last updated in NPPES | Nov 6, 2024 |
| Certified by provider | Nov 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | D0056459 | MD |
| Social Worker, Clinical | 1041C0700X | — | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (MD) |
|---|
Other Psychiatry & Neurology, Neurology providers in Rockville
- 1205094851
- 1063517423
- 1477821320
- 1417271123
- 1124938279
- 1558602854
- 1275395626
- 1679335269
- 1962250027
- 1215152103
- 1164817516
- 1669400016
All Psychiatry & Neurology, Neurology providers in Maryland →