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MY MED CLINIC PA
NPI 1336927656
Psychiatry & Neurology - Psychiatry in Germantown, MD

Active since September 18, 2023CLIA 21D2125594 · Waiver
13225 EXECUTIVE PARK TER, GERMANTOWN, MD 20874(301) 852-1374 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Med Clinic Pa NPPES

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

MY MED CLINIC PA (NPI 1336927656) is a healthcare organization registered as a psychiatry in Germantown, Maryland and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Farzana Ajmal, Owner, as its authorized official.

NPPES Registry Identity

NPI1336927656
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMY MED CLINIC PA
Location Address13225 EXECUTIVE PARK TERGermantown, MD 20874-2648
Mailing Address13225 Executive Park TerGermantown, MD 20874-2648 · (202) 584-9346
Phone(301) 852-1374
Organization SubpartNo
Authorized OfficialFarzana AjmalOwner · (301) 540-1332
Enumeration DateSeptember 18, 2023
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1336927656 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.
13225 EXECUTIVE PARK TER, Germantown, MD 20874
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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 21D2125594

My Med Clinic, PA · Germantown, MD
Active · expires Feb 27, 2027
CLIA Number21D2125594
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Fazana Ajmal
Laboratory Phone(301) 540-1332
Laboratory LocationMy Med Clinic, PA13225 Executive Park Terrace, Germantown, MD 20874
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 3

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

SUSAN N ASARE
Social Worker
13225 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (301) 337-9642
MRS. LYDIA EMUOBOSA OPARA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
13225 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (301) 337-9642
LEMECHI C OBIDIKE NP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13225 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (301) 337-9642

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 My Med Clinic PA's NPI number?

The NPI number for My Med Clinic PA is 1336927656. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is My Med Clinic PA located?

My Med Clinic PA is located at 13225 Executive Park Ter, Germantown, MD 20874. The listed phone number is (301) 852-1374.

What is My Med Clinic PA's specialty?

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

Does My Med Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2125594) is associated with this NPI, valid through February 27, 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 My Med Clinic PA was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.