CORSICA RIVER MENTAL HEALTH SERVICES, INC. (NPI# 1093249583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093249583 |
| Entity Type | Organization |
| Organization Name | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| Practice Address |
516 Washington Ave Ste 4 Chestertown MD 21620-1232 |
| Mailing Address |
120 Banjo Ln Centreville MD 21617-1002 |
| Practice Telephone | 4107582211 |
| Practice Fax Number | 4107580698 |
| Mailing Telephone | 4107582211 |
| Mailing Fax Number | 4107580698 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | MR. JOHN F PLASKON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107583050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
906420 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356875330 | Corsica River Mental Health Services, Inc. | Clinic/Center | 114 Market St Ste 207, Denton, MD 21629-1067 | 2017-04-17 |
| 1710411210 | Corsica River Mental Health Services, Inc. | Clinic/Center | 300 Talbot St, Easton, MD 21601-3525 | 2017-04-12 |
| 1386178879 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-04-12 |
| 1295269785 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2017-04-12 |
| 1922532415 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2017-04-12 |
| 1184171902 | Corsica River Mental Health Services, Inc. | Clinic/Center | 300 Talbot St, Easton, MD 21601-3525 | 2016-09-09 |
| 1033663802 | Corsica River Mental Health Services, Inc. | Clinic/Center | 516 Washington Ave, Suite 4, Chestertown, MD 21620-1225 | 2016-08-10 |
| 1023562899 | Corsica River Mental Health Services, Inc. | Clinic/Center | 114 Market St, Suite 207, Denton, MD 21629-1065 | 2016-08-10 |
| 1306220322 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2015-07-20 |
| 1891179099 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2015-07-17 |
| Street Address |
516 WASHINGTON AVE STE 4 |
| City | CHESTERTOWN |
| State | MD |
| Zip Code | 21620-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236824 | Fletcher Darby Johnson | Health Educator | 813 High Street, Chestertown, MD 21620 | 2018-05-21 |
| 1134583818 | Chestertown Physical Therapy | Occupational Therapist | 200 Mognec Road, Chestertown, MD 21620 | 2016-04-08 |
| 1871993436 | Julia Belanger | Family Medicine | 126 Philosophers Ter Ste 200, Chestertown, MD 21620 | 2014-09-01 |
| 1841536307 | Michael C. Hickman | Physical Therapy Assistant | 415 Morgnec Rd., Chestertown, MD 21620 | 2013-01-02 |
| 1083854715 | For All Seasons, Inc. | Social Worker | 516 Washingston St, Chestertown, MD 21620 | 2009-02-20 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1912153784 | Edwin Tom Taylor | Pediatrics | 100 Brown Street Med Ser Bldg Ste 107, Chestertown, MD 21620 | 2008-08-13 |
| 1083884613 | Danielle Latricia Gomer | Clinic/Center | 606 Cannon Street, Chestertown, MD 21620 | 2008-03-11 |
| 1821276320 | James Robert Siemen | Psychologist | 300 Sheeler Road, Chestertown, MD 21620 | 2008-02-06 |
| 1326223504 | Roseannette C Cooper | Acupuncturist | 311 Rosin Drive, Chestertown, MD 21620 | 2008-01-07 |
| Find all providers in zip 21620 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033663802 | Corsica River Mental Health Services, Inc. | Clinic/Center | 516 Washington Ave, Suite 4, Chestertown, MD 21620-1225 | 2016-08-10 |
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|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTOWN |
| Zip Code | 21620 |
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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.