Active NPIOrganization

Affect Provider Group, P.s.c.

Clinic/Center, Adult Mental Health in Germantown, Maryland

NPI Number1962208454
Practice location
12410 Milestone Center Dr Ofc 670, Germantown, MD 20876-7101
Fax
—
Last updated
August 20, 2026

Affect Provider Group, P.s.c. is a healthcare organization based in Germantown, MD. The NPI number for Affect Provider Group, P.s.c. is 1962208454. The current practice location address is 12410 Milestone Center Dr Ofc 670, Germantown, MD 20876-7101 and the office can be reached by phone at 845-769-8758. The NPI was assigned on February 24, 2025 and the record was last updated in NPPES on August 20, 2026.

●Provider Profile Details

NPI Number
1962208454
Provider Name
Affect Provider Group, P.s.c.
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
No
Authorized Official
Karla Renee Mullings · Secretary · 845-768-8758
Enumeration Date
February 24, 2025
Last Update Date
August 20, 2026
Certification Date
August 20, 2026
NPI Status
Active

◉Business Practice Location Address

Address
12410 Milestone Center Dr Ofc 670
Germantown, MD 20876-7101
ZIP
20876-7101
Country
US
Phone Number
845-769-8758

Get directions →

✉Business Mailing Address

Address
Po Box 96635
Phoenix, AZ 85072-6635
City
Phoenix
State
AZ
ZIP
85072-6635
Phone Number
845-769-8758

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)
193200000X - Multi-Specialty Group
101YA0400XNo——
Counselor, Mental Health
193200000X - Multi-Specialty Group
101YM0800XNo——
Social Worker
193200000X - Multi-Specialty Group
104100000XNo——
Clinic/Center, Adult Mental Health261QM0850XYes——
Clinic/Center, Rehabilitation, Substance Use Disorder261QR0405XNo——
Nurse Practitioner, Psych/Mental Health
193200000X - Multi-Specialty Group
363LP0808XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Affect Provider Group, P.s.c.?

The NPI number of Affect Provider Group, P.s.c. is 1962208454. It was assigned on February 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Affect Provider Group, P.s.c.?

Affect Provider Group, P.s.c. is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).

Where does Affect Provider Group, P.s.c. practice?

The practice location is 12410 Milestone Center Dr Ofc 670, Germantown, MD 20876-7101. The office can be reached at 845-769-8758 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962208454 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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