Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADDICTION MEDICATION CLINIC LLC
NPI 1184208688
Nurse Practitioner - Family in Westminster, MD

Q: What is Addiction Medication Clinic LLC's NPI number?

The NPI number for Addiction Medication Clinic LLC is 1184208688. It was assigned to this organization in the NPPES registry on May 11, 2021. The provider is doing business as Maryland Behavioral Health Clinic.

Q: What is Addiction Medication Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 11, 2021CLIA 21D2236354 · Waiver

407 MALCOLM DR, WESTMINSTER, MD 21157(443) 547-2964(443) 419-2996 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Aug 28, 2026, Jul 31, 2026 and 4 more (7 updates tracked since 2021).

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About Addiction Medication Clinic Llc NPPES

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

ADDICTION MEDICATION CLINIC LLC (NPI 1184208688), doing business as Maryland Behavioral Health Clinic, is a healthcare organization registered as a family in Westminster, Maryland and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Rachel Sagi, Coo, as its authorized official.

NPPES Registry Identity

NPI1184208688

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameADDICTION MEDICATION CLINIC LLC

Location Address407 MALCOLM DRWestminster, MD 21157-6107

Mailing Address407 Malcolm DrWestminster, MD 21157-6107 · (443) 547-2964 · Fax (443) 417-2996

Phone(443) 547-2964

Fax(443) 419-2996

Organization SubpartYes

Authorized OfficialRachel SagiCoo · (443) 547-2964

Enumeration DateMay 11, 2021

Last NPPES UpdateOctober 12, 20267 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1184208688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedNurse PractitionerTaxonomy 363L00000X

407 MALCOLM DR, Westminster, MD 21157

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Other Names 1

Doing Business AsMaryland Behavioral Health Clinic

Other Identifiers 1

Medicaid999656700MD

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 21D2236354

Addiction Medication Clinic · Westminster, MD

Active · expires Sep 15, 2027

CLIA Number21D2236354

Laboratory TypePoc Toxicology

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorJeanette Mitchell

Laboratory Phone(410) 702-0921

Laboratory LocationAddiction Medication Clinic407 Malcolm Drive, Westminster, MD 21157

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADDICTION MEDICATION CLINIC LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))