Provider Demographics
NPI:1992203145
Name:AMERICAN PSYCHIATRIC GROUP PA
Entity Type:Organization
Organization Name:AMERICAN PSYCHIATRIC GROUP PA
Other - Org Name:AMERICAN PSYCHIATRIC GROUP, PRP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-446-5461
Mailing Address - Street 1:9638 MAYMONT DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3010
Mailing Address - Country:US
Mailing Address - Phone:410-446-5461
Mailing Address - Fax:
Practice Address - Street 1:10632 LITTLE PATUXENT PKWY STE 104
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6217
Practice Address - Country:US
Practice Address - Phone:410-599-9977
Practice Address - Fax:410-970-4272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PSYCHIATRIC GROUP PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-2408103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Single Specialty