PYRAMID WALDEN, LLC (NPI# 1053611616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053611616 |
| Entity Type | Organization |
| Organization Name | PYRAMID WALDEN, LLC |
| Other Organization Name | WALDEN BEHAVIORAL |
| Practice Address |
85 High St Suite 4 Waldorf MD 20602-2150 |
| Mailing Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
| Practice Telephone | 3019971300 |
| Practice Fax Number | 3018634744 |
| Mailing Telephone | 3019971300 |
| Mailing Fax Number | 3018634744 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | ANNA MCGEE (QUALITY MANAGEMENT SPECIALIST) |
| Authorized Official Telephone | 3019971300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 7451881-02 | 05 | |
| MD | 7800355-00 | 05 |
| Other Name | Type Code |
|---|---|
| Walden Behavioral | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776618 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 1015 Pulaski Hwy, Joppa, MD 21085-3918 | 2019-12-05 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1427529239 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44867 St. Andrews Church Rd., California, MD 20619-2061 | 2018-12-06 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
| 1134563992 | Pyramid Walden, LLC | Community/Behavioral Health | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2013-04-24 |
| 1033451257 | Pyramid Walden, LLC | Community/Behavioral Health | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2013-03-26 |
| 1841506813 | Pyramid Walden, LLC | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2010-08-27 |
| 1184954745 | Pyramid Walden, LLC | Counselor | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2010-01-05 |
| Street Address |
85 HIGH ST SUITE 4 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861903783 | Kecia Q Wright | Counselor | 85 High St, Waldorf, MD 20602-2150 | 2017-10-18 |
| 1275989113 | Nancy E. Christian | Counselor | 85 High St, Waldorf, MD 20602-2150 | 2016-05-10 |
| 1366869349 | Walden Sierra Corp | Community/Behavioral Health | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2014-03-27 |
| 1306128434 | Pyramid Walden LLC | Social Worker | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2011-09-14 |
| 1326267113 | Michael J Kuhn Dds PC | Dentist | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2007-04-24 |
| 1881600435 | Mark S Lavetti | Dentist | 85 High St, Suite 6, Waldorf, MD 20602-2150 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286488 | Sariah J Beatty | Counselor | 8766 Grassland Ct, Waldorf, MD 20603-4916 | 2020-05-13 |
| 1730692278 | The Institute for Emotional Regulation, LLC | Counselor | 3200 Crain Hwy Ste 205, Waldorf, MD 20603-4843 | 2017-11-07 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1104370865 | Richard Davis Jr. | Counselor | 3485 Promenade Pl, Apt 101, Waldorf, MD 20603-7280 | 2016-08-11 |
| 1326237876 | Tonyia Dee Johnson | Counselor | 3235 Leonardtown Rd, Waldorf, MD 20601-3614 | 2007-10-22 |
| 1437208535 | Clean and Sober | Counselor | 3475 Leonardtown Rd, Suite 102, Waldorf, MD 20601-3678 | 2007-01-09 |
| 1255814125 | Diversified Lifestyle Services | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601-3186 | 2018-09-07 |
| 1780178590 | Erica Cavin | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2018-06-15 |
| 1215430541 | Kathryn Alicia Johnson | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2018-03-13 |
| 1407362122 | Crystal Johnson | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2017-12-18 |
| Find all providers in WALDORF | ||||
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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.