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 - Psychiatric/Mental Health 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: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Jan 23, 2026, Feb 13, 2023 and 2 more (5 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 psychiatric/mental health 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 Taxonomy363LP0808X
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 UpdateJuly 31, 20265 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1184208688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
407 MALCOLM DR, Westminster, MD 21157

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 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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
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
Nurse Practitioner (Psychiatric/Mental Health)
407 MALCOLM DR
WESTMINSTER, MD 21157
Dentist (Periodontics)
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, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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 July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.