Organization
FAMILY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADY VINOKUR (PRACTICE ADMINISTRATOR)
(301) 330-0006
Entity
Organization
Contact information
Practice address
702 RUSSELL AVE STE 100, GAITHERSBURG, MD 20877-2605
(301) 330-0006
Mailing address
702 RUSSELL AVE STE 100, GAITHERSBURG, MD 20877-2605
(301) 330-0006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442710600
—
MD
Enumeration date
09/08/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us