MEDSTAR MEDICAL GROUP II LLC
NPI 1093368409
Psychiatry & Neurology - Psychiatry in Baltimore, MD

Q: What is Medstar Medical Group II LLC's NPI number?

The NPI number for Medstar Medical Group II LLC is 1093368409. It was assigned to this organization in the NPPES registry on July 24, 2019. The provider is also known as Mmg Psych At Goodsam.

Q: What is Medstar Medical Group II LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 24, 2019CLIA 21D0219657 · Waiver

5601 LOCH RAVEN BLVD STE 406, BALTIMORE, MD 21239(443) 444-4540 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Medstar Medical Group Ii Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDSTAR MEDICAL GROUP II LLC (NPI 1093368409) is a healthcare organization registered as a psychiatry in Baltimore, Maryland and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Stephanie Schneider, Vp, as its authorized official.

NPPES Registry Identity

NPI1093368409

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameMEDSTAR MEDICAL GROUP II LLC

Location Address5601 LOCH RAVEN BLVD STE 406Baltimore, MD 21239-2949

Mailing Address2000 15th St N Ste 600Arlington, VA 22201-2900 · (703) 558-1400

Phone(443) 444-4540

Organization SubpartYes

Authorized OfficialStephanie SchneiderVp · (702) 558-1403

Enumeration DateJuly 24, 2019

✔ NPI 1093368409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5601 LOCH RAVEN BLVD STE 406, Baltimore, MD 21239

Open in Google Maps ↗

Other Names 1

Other NameMmg Psych At Goodsam

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0219657

Medstar Medical Group · Baltimore, MD

Active · expires Nov 12, 2026

CLIA Number21D0219657

Laboratory TypePhysician Office

Certificate Effective DateNovember 13, 2024

Certificate Expiration DateNovember 12, 2026

Laboratory DirectorDr. David J. Naiman

Laboratory Phone(443) 444-5600

Laboratory LocationMedstar Medical Group5601 Loch Raven Blvd, Baltimore, MD 21239

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medstar Medical Group II LLC's NPI number?

The NPI number for Medstar Medical Group II LLC is 1093368409. It was assigned to this organization in the NPPES registry on July 24, 2019. The provider is also known as Mmg Psych At Goodsam.

Where is Medstar Medical Group II LLC located?

Medstar Medical Group II LLC is located at 5601 Loch Raven Blvd Ste 406, Baltimore, MD 21239. The listed phone number is (443) 444-4540.

What is Medstar Medical Group II LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Medstar Medical Group II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0219657) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group II LLC was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.