Affect Provider Group, P.s.c.
Clinic/Center, Rehabilitation, Substance Use Disorder in Germantown, Maryland
1962204644- Practice location
- 12410 Milestone Center Dr Ofc 670, Germantown, MD 20876-7101
- Phone
- 951-691-9101
- Fax
- —
- Last updated
- August 14, 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 1962204644. 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 951-691-9101. The NPI was assigned on March 25, 2025 and the record was last updated in NPPES on August 14, 2026.
●Provider Profile Details
- NPI Number
- 1962204644
- Provider Name
- Affect Provider Group, P.s.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Karla Renee Mullings · Dir. Of Compliance · 845-768-8758
- Enumeration Date
- March 25, 2025
- Last Update Date
- August 14, 2026
- Certification Date
- August 14, 2026
- NPI Status
- Active
- Other Names
- Affect Provider Group (Other Name)
◉Business Practice Location Address
- Address
- 12410 Milestone Center Dr Ofc 670
Germantown, MD 20876-7101 - City
- Germantown
- State
- Maryland
- ZIP
- 20876-7101
- Country
- US
- Phone Number
- 951-691-9101
✉Business Mailing Address
- Address
- Po Box 96635
Phoenix, AZ 85072-6635 - City
- Phoenix
- State
- AZ
- ZIP
- 85072-6635
- Phone Number
- 951-691-9101
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Adult Mental Health | 261QM0850X | No | — | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Germantown, MD
View all providers in Germantown →?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 1962204644. It was assigned on March 25, 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, Rehabilitation, Substance Use Disorder (code 261QR0405X).
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 951-691-9101 (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 1962204644 directly on the NPPES registry website at npiregistry.cms.hhs.gov.