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

Active since May 11, 2021CLIA 21D2236354 · Waiver
407 MALCOLM DR, WESTMINSTER, MD 21157(410) 702-0921 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2026, Feb 13, 2023, Jan 7, 2022 and 1 more (4 updates tracked since 2021).

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) is a healthcare organization registered as a nurse practitioner 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, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184208688
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADDICTION MEDICATION CLINIC LLC
Location Address407 MALCOLM DRWestminster, MD 21157-6107
Mailing Address407 Malcolm DrWestminster, MD 21157-6107 · (410) 702-0921
Organization SubpartNo
Authorized OfficialRachel SagiExecutive Director · (410) 702-0921
Enumeration DateMay 11, 2021
Last NPPES UpdateJanuary 23, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1184208688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

407 MALCOLM DR, Westminster, MD 21157

Other Identifiers 1

Medicaid999656700MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 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 Phone
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.

Dentist (Periodontics)
407 MALCOLM DR
WESTMINSTER, MD 21157
Dentist (Periodontics)
407 MALCOLM DR
WESTMINSTER, MD 21157
Nurse Practitioner (Psychiatric/Mental Health)
407 MALCOLM DR
WESTMINSTER, MD 21157
Clinic/Center (Mental Health (Including Community Mental Health Center))
407 MALCOLM DR
WESTMINSTER, MD 21157
Nurse Practitioner (Psychiatric/Mental Health)
407 MALCOLM DR
WESTMINSTER, MD 21157

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 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.

Where is Addiction Medication Clinic LLC located?

Addiction Medication Clinic LLC is located at 407 Malcolm Dr, Westminster, MD 21157. The listed phone number is (410) 702-0921.

What is Addiction Medication Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Addiction Medication Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2236354) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Addiction Medication Clinic LLC was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.