Healthcare Provider Details

I. General information

NPI: 1619802642
Provider Name (Legal Business Name): ONE MENTAL HEALTH LLC - ELKRIDGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 DEERPATH RD STE 408
ELKRIDGE MD
21075-6214
US

IV. Provider business mailing address

8120 WOODMONT AVE STE 840
BETHESDA MD
20814-2789
US

V. Phone/Fax

Practice location:
  • Phone: 240-618-2889
  • Fax: 240-623-9858
Mailing address:
  • Phone: 240-200-4132
  • Fax: 240-623-9858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHAHZAD DASTGIR
Title or Position: OWNER
Credential:
Phone: 202-360-9183