POTOMAC GROVE PSYCHIATRY
NPI 1912111667
Psychologist in Gaithersburg, MD

Active since May 10, 2007
8915 SHADY GROVE CT, GAITHERSBURG, MD 20877(301) 963-0060(301) 258-7482 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Potomac Grove Psychiatry NPPES

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

POTOMAC GROVE PSYCHIATRY (NPI 1912111667) is a healthcare organization registered as a psychologist in Gaithersburg, Maryland and active in the NPI registry since May 2007. The organization lists Louis E Kopolow, Owner, as its authorized official.

NPPES Registry Identity

NPI1912111667
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePOTOMAC GROVE PSYCHIATRY
Location Address8915 SHADY GROVE CTGaithersburg, MD 20877-1308
Mailing Address8915 Shady Grove CtGaithersburg, MD 20877-1308 · (301) 963-0060 · Fax (301) 258-7482
Fax(301) 258-7482
Organization SubpartNo
Authorized OfficialLouis E KopolowOwner · (301) 963-0060
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2010
NPI 1912111667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · D0016788
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8915 SHADY GROVE CT, Gaithersburg, MD 20877

Other Identifiers 2

Medicare ID-Type Unspecified039483DC
Medicare UPINB92926

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

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.

Psychiatry & Neurology (Psychiatry)
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877
Clinical Nurse Specialist (Psychiatric/Mental Health)
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychologist
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychiatry & Neurology (Psychiatry)
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877
Registered Nurse (Psychiatric/Mental Health)
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877

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 Potomac Grove Psychiatry's NPI number?

The NPI number for Potomac Grove Psychiatry is 1912111667. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Potomac Grove Psychiatry located?

Potomac Grove Psychiatry is located at 8915 Shady Grove Ct, Gaithersburg, MD 20877. The listed phone number is (301) 963-0060.

What is Potomac Grove Psychiatry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Potomac Grove Psychiatry was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.