Organization · Type 2 NPI

Discovery Practice Management, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Hanover, MD

NPI number 1609648096 Active

Practice location

7240 Parkway Dr Ste 100
Hanover, MD 21076-1367

Call (714) 828-1800 Map

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1609648096
Entity type: Organization (Type 2)
Issued: Oct 27, 2023
Last updated: Oct 27, 2023
Status: Active
Subpart: Yes of Discovery Practice Management, Inc.

Other names

Discovery Mood & Anxiety Program, Hanover · doing business as

Authorized official

Magdalen Gustilo
Director of Payer Relations
(714) 568-7667

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609648096

Discovery Practice Management, Inc.'s National Provider Identifier is 1609648096, issued on Oct 27, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Hanover, MD. The record was last updated on Oct 27, 2023.