OrganizationActive
Psychiatry Specialities Clinics, LLC
NPI 1851864037 · Addiction Psychiatry Physician · Ellicott City, MD
Provider details
- NPI number
- 1851864037
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rinu Pradhan, Office Manager(410) 988-8092
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3525 Ellicott Mills Dr Ste G
Ellicott City, MD 21043-4638
Phone: (410) 988-8092
Fax: (443) 420-7875
Approximate (ZIP-level) locationGet directions
Mailing address
3525 Ellicott Mills Dr
Ellicott City, MD 21043-4547
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.