PSYCHOTHERAPEUTIC TREATMENT SERVICES (NPI# 1013050061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013050061 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC TREATMENT SERVICES |
| Other Organization Name | PSYCHOTHERAPEUTIC SERVICES, INC, |
| Practice Address |
839 Bestgate Rd Suite 400a Annapolis MD 21401-3472 |
| Mailing Address |
870 High St Suite 2 Chestertown MD 21620-3914 |
| Practice Telephone | 4102241188 |
| Practice Fax Number | 4102243711 |
| Mailing Telephone | 4107781099 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MR. RANDALL L COOPER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4108102468 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 335241200 | 05 |
| Other Name | Type Code |
|---|---|
| Psychotherapeutic Services, Inc, | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376619643 | Psychotherapeutic Treatment Services | Psychologist | 2021 Research Dr, Annapolis, MD 21401-3038 | 2006-11-28 |
| Street Address |
839 BESTGATE RD SUITE 400A |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477015675 | Ronieka Sharae Moore | Social Worker | 839 Bestgate Rd, Annapolis, MD 21401-3472 | 2019-04-05 |
| 1225564503 | Anne Arundel County Dept of Health | Clinic/Center | 839 Bestgate Rd, Ste 300, Annapolis, MD 21401-3472 | 2017-05-05 |
| 1922473156 | James Gregory Jones | Counselor | 839 Bestgate Rd, Annapolis, MD 21401 | 2015-12-14 |
| 1528494028 | Horizon Psychiatry, Inc. | Psychiatry & Neurology | 839 Bestgate Rd, Annapolis, MD 21401-3472 | 2013-09-17 |
| 1336493444 | Richard Lee Sweet | Counselor | 839 Bestgate Rd, Suite 400, Annapolis, MD 21401-3472 | 2012-10-29 |
| 1578711610 | Jessica Austin | Counselor | 839 Bestgate Rd, Annapolis, MD 21401-3472 | 2008-09-03 |
| 1225213507 | Arundel Lodge, Inc. | Community/Behavioral Health | 839 Bestgate Rd, Annapolis, MD 21401-3472 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.