Healthcare Provider Details

I. General information

NPI: 1033680749
Provider Name (Legal Business Name): AMERICAN PSYCHIATRIC GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E FRANKLIN ST 1ST FLOOR/BASEMENT
BALTIMORE MD
21202-2203
US

IV. Provider business mailing address

9638 MAYMONT DR
VIENNA VA
22182-3010
US

V. Phone/Fax

Practice location:
  • Phone: 410-600-3500
  • Fax: 410-600-3499
Mailing address:
  • Phone: 410-446-5461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name: IRFAN SAEED
Title or Position: MD
Credential:
Phone: 410-599-9977