MEDICARE: AMERICAN PSYCHIATRIC CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1669031225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PSYCHIATRIC CARE LLC

Provider Business Mailing Address
First Line	:	2014 S TOLLGATE RD STE 208
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21015-5904
Country	:	US
Telephone Number	:	410-670-3076
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 DEER RIDGE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7158
Country	:	US
Telephone Number	:	410-670-3076
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAVIKUMAR BHALAVAT
Credential	:
Telephone Number	:	410-670-3076

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	06/07/2019

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