UPPER BAY COUNSELING & SUPPORT SERVICES, INC (NPI# 1023496270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023496270 |
| Entity Type | Organization |
| Organization Name | UPPER BAY COUNSELING & SUPPORT SERVICES, INC |
| Practice Address |
626 Revolution St Havre De Grace MD 21078-3320 |
| Mailing Address |
200 Booth St Elkton MD 21921-5657 |
| Practice Telephone | 4109398744 |
| Practice Fax Number | 4103983416 |
| Mailing Telephone | 4109965104 |
| Mailing Fax Number | 4103983416 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | DR. RICH BAYER (CEO) |
| Authorized Official Telephone | 4109965104 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 922801200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149995 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-25 |
| 1255861225 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2017-06-13 |
| 1245760214 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2017-06-13 |
| 1083165880 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-18 |
| 1144771908 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-17 |
| 1952852717 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-17 |
| 1689123291 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-09-23 |
| 1437543774 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2015-03-25 |
| 1346634680 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2015-03-25 |
| Street Address |
626 REVOLUTION ST |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669498168 | Ralph Dalton Scoville | Psychiatry & Neurology | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2006-07-15 |
| 1205460417 | Vera Alice De Toledo-powell | Counselor | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2020-02-26 |
| 1568092575 | Donisha D Porter | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2020-01-17 |
| 1336784305 | Heather Aubree Mayhew | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2019-11-13 |
| 1952958589 | Dominique Nichole Hughes | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2019-08-19 |
| 1750937850 | Carley Huber | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2019-08-14 |
| 1285292953 | Kristina Worton | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2019-05-29 |
| 1982169314 | Melissa E Thompson | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2019-02-11 |
| 1598229908 | Aditi Kaji | Counselor | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2019-01-30 |
| 1285104190 | Amanda Rowe | Social Worker | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245760214 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2017-06-13 |
| 1629524186 | Upper Bay Counseling & Support Services | Clinic/Center | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2016-08-25 |
| 1184951907 | Upper Bay Counseling and Support Services, Inc | Clinic/Center | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2009-11-16 |
| 1114252020 | Upper Bay Counseling and Support Services, Inc | Clinic/Center | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2009-10-09 |
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| 1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
Please comment or provide details below to improve the information on UPPER BAY COUNSELING & SUPPORT SERVICES, INC.
| 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.