UPPER BAY COUNSELING & SUPPORT SERVICES, INC (NPI# 1083165880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083165880 |
| Entity Type | Organization |
| Organization Name | UPPER BAY COUNSELING & SUPPORT SERVICES, INC |
| Practice Address |
251 S Bohemia Ave Cecilton MD 21913-1010 |
| Mailing Address |
200 Booth St Elkton MD 21921-5657 |
| Practice Telephone | 4109965104 |
| Practice Fax Number | 4103983416 |
| Mailing Telephone | 4109965104 |
| Mailing Fax Number | 4103983416 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | RICH BAYER (CEO) |
| Authorized Official Telephone | 4109965104 |
| Authorized Official Credential | PHD |
| 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 |
| 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 |
| 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 |
| 1023496270 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2015-05-08 |
| 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 |
251 S BOHEMIA AVE |
| City | CECILTON |
| State | MD |
| Zip Code | 21913-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410603 | Wallace Obenshain | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-0670 | 2006-05-04 |
| 1760093009 | Chesapeake Wellness Center | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2020-08-11 |
| 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 |
| 1083163307 | Chesapeake Wellness Center | Psychologist | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-09-28 |
| 1689123291 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972717833 | Eric Allen Vanvenrooy | Dentist | 251 S. Bohemia Avenue, Cecilton, MD 21913 | 2007-05-10 |
| 1427072503 | Paul Katz, D.o. | Family Medicine | 251 Bohemia Avenue, Cecilton, MD 21913 | 2006-07-26 |
| 1134261217 | Wallace Bruce Obenshain Cecilton Family Practice | Family Medicine | 251 Bohemia Ave, Cecilton, MD 21913 | 2007-02-13 |
| 1629047154 | Paul M Katz | Family Medicine | 251 Bohemia Ave, Cecilton, MD 21913-0000 | 2006-03-16 |
| 1265532048 | Physiotherapy Associates - Union Rehab LLC | Clinic/Center | 251 South Bohemia Ave, Cecilton, MD 21913-0335 | 2006-09-22 |
| 1861616179 | Davis Taylor Short | Social Worker | 143 N Bohemia Ave., Cecilton, MD 21913-0488 | 2007-04-11 |
| 1457427296 | Joseph David Cohn Jr. | Dentist | 121 South Bohemia Avenue, Cecilton, MD 21913-0489 | 2006-11-24 |
| 1992784524 | Cecilton Volunteer Fire Co Inc | Ambulance | 110 E Main St, Cecilton, MD 21913-1001 | 2006-01-12 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 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 |
|---|---|---|---|---|
| 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 |
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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.