Divine Health Medical and Spa LLC
NPI 1790428555 · Primary Care Clinic/Center · Rockville, MD
Divine Health Medical and Spa LLC is a Primary Care Clinic/Center organization in Rockville, MD (NPI 1790428555).
Provider details
- NPI number
- 1790428555
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sally Young, Educator(240) 437-9997
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2022-07-14
- Certified
- 2022-07-14
Frequently asked questions
- What is Divine Health Medical and Spa LLC's NPI number?
- Divine Health Medical and Spa LLC's National Provider Identifier (NPI) is 1790428555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Health Medical and Spa LLC?
- Divine Health Medical and Spa LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divine Health Medical and Spa LLC located?
- Divine Health Medical and Spa LLC's practice location on file with NPPES is 11119 Rockville Pike Ste 320, Rockville, MD 20852-3143.
- What is Divine Health Medical and Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Health Medical and Spa LLC is (240) 669-6598.
- Who is the authorized official for Divine Health Medical and Spa LLC?
- The authorized official listed on Divine Health Medical and Spa LLC's NPPES record is Sally Young, Educator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Health Medical and Spa LLC's NPI active?
- Yes — Divine Health Medical and Spa LLC's NPI (1790428555) is active in the NPPES registry as of the last update on 2022-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.