MARYLAND TREATMENT CENTERS, INC.
NPI 1619082005
Substance Abuse Rehabilitation Facility in Rockville, MD

NPI Status: Active since August 19, 2006

Contact Information

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853
Phone: (301) 762-5613
Fax: (301) 762-3451

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 21D2304545
  • CLIA Cert. Type: Other - SUBSTANCE USE DISORDER TX
  • CLIA Exp. Date: 05-14-2026

About MARYLAND TREATMENT CENTERS, INC.

This page provides the complete NPI Profile along with additional information for Maryland Treatment Centers, Inc., a provider established in Rockville, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1619082005 assigned on August 2006. The practitioner's primary taxonomy code is 324500000X with license number 903194 (MD). The provider is registered as an organization and their NPI record was last updated one year ago. Maryland Treatment Centers, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Ms. Sarah D Bolek (Assoc Dir Of Contracts)

NPI
1619082005
Provider Legal Name
MARYLAND TREATMENT CENTERS, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
14703 AVERY RD ROCKVILLE, MD 20853
Location Phone
(301) 762-5613
Location Fax
(301) 762-3451
Mailing Address
14703 AVERY RD ROCKVILLE, MD 20853
Mailing Phone
(301) 762-5613
Mailing Fax
(301) 762-3451
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-19-2006
Last Update Date
10-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
903194
License State
MD
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

(MD)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

(MD)
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

(MD)
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

(MD)
52084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

(MD)
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

(MD)
72084P0802XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Psychiatry

(MD)
8261QM0801XAmbulatory Health Care Facilities

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

20105 (MD)
9261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

20105 (MD)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SARAH D BOLEK

Authorized Official Title
ASSOC DIR OF CONTRACTS
Authorized Official Phone
(240) 401-3062

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
264553000MEDICAID (05)MD 
090501103MEDICAID (05)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2304545
Facility Type
Other - SUBSTANCE USE DISORDER TX
Certificate Effective Date
May 15, 2024
Certificate Expiration Date
May 14, 2026
Laboratory Director
MARC FISHMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maryland Treatment Centers, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619082005, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 8 + 4 + 0 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1619082005.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Adult Mental Health)
14703 AVERY RD
ROCKVILLE, MD 20853
Counselor (Professional)
14703 AVERY RD
ROCKVILLE, MD 20853
Physician Assistant
14703 AVERY RD
ROCKVILLE, MD 20853
Counselor (Professional)
14703 AVERY RD
ROCKVILLE, MD 20853
Nurse Practitioner (Family)
14703 AVERY RD
ROCKVILLE, MD 20853
Clinic/Center (Mental Health (Including Community Mental Health Center))
14703 AVERY RD
ROCKVILLE, MD 20853
Clinic/Center (Rehabilitation, Substance Use Disorder)
14703 AVERY RD
ROCKVILLE, MD 20853
Clinic/Center (Rehabilitation, Substance Use Disorder)
14703 AVERY RD
ROCKVILLE, MD 20853
Substance Abuse Rehabilitation Facility
14703 AVERY RD
ROCKVILLE, MD 20853

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619082005, enumerated as an "organization" on August 19, 2006.

The provider is located at 14703 AVERY RD ROCKVILLE, MD 20853 and the phone number is (301) 762-5613.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.