RICA-BALTIMORE (NPI# 1063402121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063402121 |
Entity Type | Organization |
Organization Name | RICA-BALTIMORE |
Other Organization Name | REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS- BALTIMORE |
Practice Address |
605 S Chapel Gate Ln Baltimore MD 21229-3906 |
Practice Telephone | 4103687801 |
Practice Fax Number | 4103687886 |
Mailing Telephone | 4103687801 |
Mailing Fax Number | 4103687886 |
Enumeration Date | 2005-10-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | PENNY MAKRIS (CEO) |
Authorized Official Telephone | 4103687801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 03-045 | MD | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Regional Institute for Children and Adolescents- Baltimore | Other Name - Individual/Organization |
Street Address |
605 S CHAPEL GATE LN |
City | BALTIMORE |
State | MD |
Zip Code | 21229-3906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952811499 | Tinicka W Smith | Social Worker | 605 S Chapel Gate Ln, Baltimore, MD 21229-3906 | 2017-10-11 |
1538376348 | Eileen Nudelman | Psychiatry & Neurology | 605 S Chapel Gate Ln, Baltimore, MD 21229-3906 | 2007-05-17 |
1295744001 | Sung-up Hahn | Psychiatry & Neurology | 605 S Chapel Gate Ln, Baltimore, MD 21229-3906 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
Find all providers in zip 21229 |
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 |
---|---|---|---|---|
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 |
1275614968 | Mann Rtc | Residential Treatment Facility, Emotionally Disturbed Children | 6501 N Charles St, Baltimore, MD 21204-6819 | 2006-10-18 |
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 |
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 |
1033101738 | John L. Gildner Regional Institute for Children and Adolescents | Residential Treatment Facility, Emotionally Disturbed Children | 15000 Broschart Rd, Rockville, MD 20850-3303 | 2005-08-18 |
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 |
1700920527 | Potomac Ridge Behaviorial Health System Eastern Shore | Residential Treatment Facility, Emotionally Disturbed Children | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-02-16 |
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.