PERSONALIZED THERAPY, LLC (NPI# 1063980290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063980290 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED THERAPY, LLC |
| Practice Address |
1005 Prince Frederick Blvd Ste 102 Prince Frederick MD 20678-3195 |
| Mailing Address |
22593 Three Notch Rd California MD 20619-3054 |
| Practice Telephone | 3018622505 |
| Practice Fax Number | 3018622548 |
| Mailing Telephone | 3018622505 |
| Mailing Fax Number | 3018622548 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | MELANIE ANN LOHWATER (OWNER) |
| Authorized Official Telephone | 3018622505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881162014 | Personalized Therapy, LLC | Assistant Behavior Analyst | 3261 Old Washington Rd Ste 1010, Waldorf, MD 20602-3228 | 2018-11-06 |
| 1861960130 | Personalized Therapy, LLC | Physical Therapist | 3261 Old Washington Rd Unit 101, Waldorf, MD 20602-3223 | 2018-11-05 |
| 1801364179 | Personalized Therapy, LLC | Physical Therapist | 1005 Prince Frederick Blvd Ste 102, Prince Frederick, MD 20678-3195 | 2018-11-05 |
| 1265914782 | Personalized Therapy, LLC | Counselor | 22593 Three Notch Rd, California, MD 20619-3054 | 2018-08-31 |
| 1174005698 | Personalized Therapy, LLC | Psychologist | 22593 Three Notch Rd, California, MD 20619-3054 | 2018-08-31 |
| 1699711135 | Personalized Therapy, LLC | Psychologist | 22593 Three Notch Rd, California, MD 20619 | 2006-06-22 |
| Street Address |
1005 PRINCE FREDERICK BLVD STE 102 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841548518 | Katherine Anne Chappell | Occupational Therapist | 1005 Prince Frederick Blvd Ste 102, Prince Frederick, MD 20678-3195 | 2012-08-28 |
| 1881220242 | Anna Elizabeth Hill | Occupational Therapist | 1005 Prince Frederick Blvd Ste 102, Prince Frederick, MD 20678-3195 | 2020-03-18 |
| 1801364179 | Personalized Therapy, LLC | Physical Therapist | 1005 Prince Frederick Blvd Ste 102, Prince Frederick, MD 20678-3195 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678974 | Personalized Academy of Learning Inc | Behavioral Analyst | 20945 Great Mills Rd Ste 201, Lexington Park, MD 20653-5304 | 2020-10-27 |
| 1235736521 | Ari Dinsmoor | Behavioral Analyst | 1150 Ripley St Apt 1308, Silver Spring, MD 20910-7431 | 2020-10-08 |
| 1386241750 | Alexander R Arevalo | Behavioral Analyst | 8558 Black Star Cir, Columbia, MD 21045-2649 | 2020-10-07 |
| 1366058083 | The House Project | Behavioral Analyst | 1314 Glyndon Ave, Baltimore, MD 21223-3613 | 2020-09-17 |
| 1548874753 | Jordan Christine Hoskinson | Behavioral Analyst | 2211 Penfield Ln, Bowie, MD 20716-1427 | 2020-09-04 |
| 1477165868 | Md Mc Sprout 1 LLC | Behavioral Analyst | 7761 Diamondback Rd, College Park, MD 20740-3240 | 2020-08-18 |
| 1871105353 | Haley Armacost | Behavioral Analyst | 13850 Wayside Dr, Clarksville, MD 21029-1305 | 2020-08-17 |
| 1568071819 | Behavior Performance Project | Behavioral Analyst | 2312 Manor Spring Ter, Silver Spring, MD 20906-3267 | 2020-07-23 |
| 1245848142 | Hillary Grande | Behavioral Analyst | 2011 Reuter Rd, Timonium, MD 21093-4337 | 2020-07-16 |
| 1134737349 | Mohamed Lamin Mansaray | Behavioral Analyst | 9737 Mount Pisgah Rd Apt 1210, Silver Spring, MD 20903-2017 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.