OrganizationActive
Maryland Institute for Neuroscience and Development
NPI 1295089480 · Child & Adolescent Psychiatry Physician · Chevy Chase, MD
Provider details
- NPI number
- 1295089480
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gonzalo Laje, President(301) 576-6044
- License
- D62330 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5480 Wisconsin Ave
#228
Chevy Chase, MD 20815-3530
Phone: (301) 576-6044
Fax: (301) 576-1645
Street-level locationGet directions
Mailing address
5480 Wisconsin Ave
Chevy Chase, MD 20815-3530
Registry dates
- Enumerated
- 2012-11-09
- Last updated
- 2012-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.