AFFILIATED SANTE GROUP (NPI# 1013348267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013348267 |
| Entity Type | Organization |
| Organization Name | AFFILIATED SANTE GROUP |
| Practice Address |
4355 Nicole Dr Lanham MD 20706-4349 |
| Mailing Address |
12200 Tech Rd Suite 330 Silver Spring MD 20904-1983 |
| Practice Telephone | 3014292171 |
| Mailing Telephone | 3017875692 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | FRED CHANTEAU (CEO) |
| Authorized Official Telephone | 3015726585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 422027700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983102 | Affiliated Sante Group | Community/Behavioral Health | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-08 |
| 1083720569 | Affiliated Sante Group | Clinic/Center | 1400 Spring St Ste 100, Silver Spring, MD 20910-2751 | 2006-08-21 |
| 1588045959 | Affiliated Sante Group | Counselor | 7610 Pennsylvania Ave, Suite 203, Forestville, MD 20747-4701 | 2015-06-11 |
| 1538427208 | Affiliated Sante Group | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2012-05-01 |
| 1962716852 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-08-03 |
| 1780998096 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-07-28 |
| 1316262595 | Affiliated Sante Group | Health Maintenance Organization | 1205 York Rd, Suite 29, Timonium, MD 21093-6210 | 2010-03-31 |
| 1528383700 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-03-31 |
| 1205165545 | Affiliated Sante Group | Day Training, Developmentally Disabled Services | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-16 |
| 1043485089 | Affiliated Sante Group | Counselor | 1400 Spring St Ste 100, Silver Spring, MD 20910-2751 | 2008-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AFFILIATED SANTE GROUP | 12200 Tech Rd. Suite 330, Silver Spring, MD 20904-1913 |
| Street Address |
4355 NICOLE DR |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983102 | Affiliated Sante Group | Community/Behavioral Health | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-08 |
| 1205165545 | Affiliated Sante Group | Day Training, Developmentally Disabled Services | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1386164770 | April Victoria Martin | Psychologist | 4200 Parliament Pl, Ste 510, Lanham, MD 20706-1852 | 2017-06-27 |
| 1770959942 | Tonya Walker Lockwood | Psychologist | 9917 Good Luck Rd, Apt 202, Lanham, MD 20706-3252 | 2015-08-11 |
| 1003154691 | Bianca Fetherson | Psychologist | 7404 Executive Pl Ste 225b, Lanham, MD 20706-6205 | 2013-01-17 |
| 1891921003 | Alek's House LLC | Psychologist | 4200 Forbes Blvd Ste 122, Lanham, MD 20706-4342 | 2009-06-02 |
| 1245323542 | Susan Bregman | Psychologist | 8920 Hilton Hill Drive, Lanham, MD 20706 | 2006-10-02 |
| 1639283849 | Dana Cunningham | Psychologist | 9344 Lanham Severn Rd, #203a, Lanham, MD 20706-2776 | 2006-08-18 |
| 1558828996 | Fetherson & Knight Psychological Services, LLC | Psychologist | 7404 Executive Pl Ste 225b, Lanham, MD 20706-6205 | 2019-02-21 |
| 1386135333 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706-6312 | 2018-05-25 |
| 1063927606 | The One World Center for Autism, Inc. | Psychologist | 7401 Forbes Blvd Ste A, Lanham, MD 20706-2288 | 2017-12-05 |
| Find all providers in LANHAM | ||||
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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.