Provider Demographics
NPI:1770986564
Name:SUBURBAN PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:SUBURBAN PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INDERPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:302-999-8426
Mailing Address - Street 1:9200 CORPORATE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3863
Mailing Address - Country:US
Mailing Address - Phone:301-670-4250
Mailing Address - Fax:301-670-4260
Practice Address - Street 1:5177 W WOODMILL DR
Practice Address - Street 2:SUITE 6
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4067
Practice Address - Country:US
Practice Address - Phone:302-999-8426
Practice Address - Fax:302-999-8761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2014605649261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health