GREEN RIDGE BEHAVIORAL HEALTH, LLC
NPI 1407088339
Psychiatry & Neurology - Neurology in Rockville, MD

Active since August 11, 2009
1395 PICCARD DR STE 320, ROCKVILLE, MD 20850(240) 683-6202(240) 683-6203 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, Jun 20, 2018 (2 updates tracked since 2018).

About Green Ridge Behavioral Health, Llc NPPES

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

GREEN RIDGE BEHAVIORAL HEALTH, LLC (NPI 1407088339) is a healthcare organization registered as a neurology in Rockville, Maryland and active in the NPI registry since August 2009. The organization lists Samina Yousufi, Owner, as its authorized official.

NPPES Registry Identity

NPI1407088339
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameGREEN RIDGE BEHAVIORAL HEALTH, LLC
Location Address1395 PICCARD DR STE 320Rockville, MD 20850-4349
Mailing Address1395 Piccard Dr Ste 320Rockville, MD 20850-4349 · (240) 683-6202 · Fax (240) 683-6203
Fax(240) 683-6203
Organization SubpartNo
Authorized OfficialSamina YousufiOwner · (240) 683-6202
Enumeration DateAugust 11, 2009
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1407088339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MD · D0056459
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1395 PICCARD DR STE 320, Rockville, MD 20850

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Ridge Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Green Ridge Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner4
Clinical Social Worker3
Psychiatry2
Family Practice1
Mental Health Counselor1

Clinicians, nearest first (11)

Clinical Social Worker
NPI 1437494887
1395 PICCARD DR SUITE320
Rockville, MD 20850
(301) 434-8985
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1487608196
1395 PICCARD DR STE 320
Rockville, MD 20850
(240) 683-6202
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376198697
1451 ROCKVILLE PIKE STE 250
Rockville, MD 20852
(301) 640-5288
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1669119640
610 PROFESSIONAL DR STE 255
Gaithersburg, MD 20879
(240) 683-6202
✔ PECOS✔ Accepts Medicare4.3 mi
Clinical Social Worker
NPI 1174064232
610 PROFESSIONAL DR STE 255
Gaithersburg, MD 20879
(240) 683-6202
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1578192464
2415 MUSGROVE RD STE 105
Silver Spring, MD 20904
(301) 989-0193
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1205870847
5500 KNOLL NORTH DR STE 370
Columbia, MD 21045
(410) 837-2050
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1710848775
8017 GABRIELS CT
Jessup, MD 20794
(301) 828-0966
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1316504848
4107 GLENN DALE RD
Bowie, MD 20720
(301) 648-3082
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1477261428
901 HARRY S TRUMAN DR N
Largo, MD 20774
(202) 360-8353
✔ PECOS✔ Accepts Medicare29 mi
Psychiatry
NPI 1154485688
707 N BROADWAY
Baltimore, MD 21205
(443) 923-9200
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Green Ridge Behavioral Health, LLC's NPI number?

The NPI number for Green Ridge Behavioral Health, LLC is 1407088339. It was assigned to this organization in the NPPES registry on August 11, 2009.

Where is Green Ridge Behavioral Health, LLC located?

Green Ridge Behavioral Health, LLC is located at 1395 Piccard Dr Ste 320, Rockville, MD 20850. The listed phone number is (240) 683-6202.

What is Green Ridge Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Green Ridge Behavioral Health, LLC enrolled in Medicare?

Yes. Green Ridge Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Ridge Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Green Ridge Behavioral Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Clinical Social Worker (3) and Psychiatry (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Green Ridge Behavioral Health, LLC was last updated on November 6, 2024. 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.