JOHN L. GILDNER REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS (NPI# 1033101738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101738 |
| Entity Type | Organization |
| Organization Name | JOHN L. GILDNER REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS |
| Practice Address |
15000 Broschart Rd Rockville MD 20850-3303 |
| Practice Telephone | 3012516800 |
| Practice Fax Number | 3013099004 |
| Mailing Telephone | 3012516800 |
| Mailing Fax Number | 3013099004 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD AVERY KNIFFEN JR. (DIRECTOR OF PERFORMANCE IMPROVEMENT) |
| Authorized Official Telephone | 3012516828 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 15-038 | MD | Residential Treatment Facilities |
| Street Address |
15000 BROSCHART RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215371422 | Ana Maria Jaramillo | Psychiatry & Neurology | 15000 Broschart Rd, Rockville, MD 20850 | 2013-04-18 |
| 1821354242 | Diana Veronica Mata | Psychiatry & Neurology | 15000 Broschart Rd, Rockville, MD 20850-3303 | 2012-04-10 |
| 1568766988 | Charles Wilbert Curtis II | Psychologist | 15000 Broschart Rd, Rockville, MD 20850-3303 | 2010-12-28 |
| 1811034515 | Claudette Joan Bernstein | Psychiatry & Neurology | 15000 Broschart Rd, Rockville, MD 20850 | 2007-01-31 |
| 1588670590 | Brent R Anderson | Psychiatry & Neurology | 15000 Broschart Rd, Rica, Rockville, MD 20850-3392 | 2006-07-31 |
| 1932124914 | Rebecca Gwen Edelson | Psychiatry & Neurology | 15000 Broschart Rd, Rockville, MD 20850-3303 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326219486 | North American Family Institute | Residential Treatment Facility, Emotionally Disturbed Children | 7960 Henryton Rd, Marriottsville, MD 21104-1103 | 2008-03-17 |
| 1508980251 | The House of The Good Shepherd of The City of Baltimore | Residential Treatment Facility, Emotionally Disturbed Children | 4100 Maple Avenue, Baltimore, MD 21227-4007 | 2007-03-19 |
| 1851480065 | Three Springs, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20700 Wagoner Cutoff Road, Oldtown, MD 21555 | 2006-10-12 |
| 1255424164 | Sheppard Pratt Health System, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2940 Point of Rocks Rd., Jefferson, MD 21755-0009 | 2006-10-02 |
| 1033149257 | The Woodbourne Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1220b E Joppa Rd Ste 433, Towson, MD 21286-5819 | 2006-07-04 |
| 1104805696 | Regional Institute for Children and Adolescents - Southern Maryland | Residential Treatment Facility, Emotionally Disturbed Children | 9400 Surratts Rd, Cheltenham, MD 20623-1324 | 2006-01-12 |
| 1063402121 | Rica-baltimore | Residential Treatment Facility, Emotionally Disturbed Children | 605 S Chapel Gate Ln, Baltimore, MD 21229-3906 | 2005-10-28 |
| 1053445247 | Potomac Ridge Behaviorial Health Eastern Shore | Residential Treatment Facility, Emotionally Disturbed Children | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-03-16 |
| 1285765636 | Potomac Ridge- Eastern Shore | Residential Treatment Facility, Emotionally Disturbed Children | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-03-08 |
| 1104952050 | Potomac Ridge Behavorial Health Eastern Shore | Residential Treatment Facility, Emotionally Disturbed Children | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-02-26 |
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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.