MARYLAND PHYSICIANS EDGE LLC NPI 1306791587

NPI Information

  • NPI: 1306791587
  • Provider Name: MARYLAND PHYSICIANS EDGE LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 26005 RIDGE RD STE 200
    DAMASCUS, MD
    ZIP 20872
  • Phone: (301) 414-2300

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NPI Details

MARYLAND PHYSICIANS EDGE LLC is an adult mental health clinic center in Damascus, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARYLAND PHYSICIANS EDGE LLC NPI is 1306791587. The provider is registered as an organization entity type.

The provider's business location address is:

26005 RIDGE RD STE 200
DAMASCUS, MD
ZIP 20872-899
Phone: (301) 414-2300

The provider's authorized official is Tracey M Moran .
The authorized official title is Practice Manager and has the following contact phone number (301) 681-6772.

The enumeration date for this NPI number is 3/3/2026 and was last updated on 3/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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