Healthcare Provider Details

I. General information

NPI: 1114532454
Provider Name (Legal Business Name): AMERICAN PSYCHIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11886 HEALING WAY STE 504
SILVER SPRING MD
20904-7917
US

IV. Provider business mailing address

2014 S TOLLGATE RD STE 208
BEL AIR MD
21015-5904
US

V. Phone/Fax

Practice location:
  • Phone: 410-670-3076
  • Fax: 443-372-5365
Mailing address:
  • Phone: 410-670-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RAVIKUMAR BHALAVAT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-670-3076