Provider Demographics
NPI:1598529497
Name:RISE REGIONAL HEALTH SERVICES
Entity Type:Organization
Organization Name:RISE REGIONAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MIRINDI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MSN, PMHNP-BC
Authorized Official - Phone:202-341-5961
Mailing Address - Street 1:604 SOLAREX CT UNIT 205B
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8655
Mailing Address - Country:US
Mailing Address - Phone:202-341-5961
Mailing Address - Fax:
Practice Address - Street 1:604 SOLAREX CT UNIT 205B
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8655
Practice Address - Country:US
Practice Address - Phone:202-341-5961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)