FAMILY HEALTH CENTER (NPI# 1093750697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093750697 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER |
| Practice Address |
6 Montgomery Village Ave 400 Gaithersburg MD 20879-3546 |
| Practice Telephone | 3019637222 |
| Practice Fax Number | 3019632616 |
| Mailing Telephone | 3019637222 |
| Mailing Fax Number | 3019632616 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DR. BRUKE TADESSE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3017792461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LC0295 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058968 | Family Health Center | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-03-29 |
| 1316126121 | Family Health Center | Specialist | 3415 Hamilton St, Suite 9, Hyattsville, MD 20782-3953 | 2007-10-29 |
| 1962558395 | Family Health Center | Specialist | 1410 N Woodlawn Blvd, Suite A, Derby, KS 67037-2922 | 2007-01-26 |
| 1336193416 | Family Health Center | Chiropractor | 630 Salem Ave, Woodbury, NJ 08096-3118 | 2006-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FAMILY HEALTH CENTER | 503 Norwest Bank Building, South Bend, IN 46601 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTER OF CLARK COUNTY INC | 1319 Duncan Ave, Jeffersonville, IN 47130-3720 |
| Indiana Business Entities | FAMILY HEALTH CENTER OF HARRISON COUNTY, INCORPORATED | 306 Atwood Street, Corydon, IN 47112 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTER OF LEA COUNTY | 515 E Main St, Hobbs, NM 88240-8119 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTER OF SIERRA VISTA PC | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 |
| Iowa Business Entities | FAMILY HEALTH CENTER OF WATERLOO, P.C. | 11790 Kimball Avenue, Waterloo, IA 50701 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTER OF WORCESTER, INC. | 26 Queen St Ste 3, Worcester, MA 01610-2473 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS | 716 1st Ave S, Okanogan, WA 98840-9679 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS AT NYU LANGONE | 150 55th St Ste 1, Brooklyn, NY 11220-2508 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. | 2256 Heitman St, Fort Myers, FL 33901-3744 |
| Street Address |
6 MONTGOMERY VILLAGE AVE 400 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790754554 | Roni W Ford | Dermatology | 6 Montgomery Village Ave, Suite 322, Gaithersburg, MD 20879-3546 | 2006-03-15 |
| 1710176763 | Farhad Naseh | Specialist | 6 Montgomery Village Ave, 103, Gaithersburg, MD 20879-3546 | 2007-10-16 |
| 1205900537 | Drs. Ford and Rothman Cosmetic and Clinical Dermatology, LLC | Dermatology | 6 Montgomery Village Ave, Suite 322, Gaithersburg, MD 20879-3546 | 2006-11-20 |
| 1194773770 | Geeta Mohla Shah | Dermatology | 6 Montgomery Village Ave, Suite 322, Gaithersburg, MD 20879-3546 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723192 | New Beginnings LLC | Psychologist | 4010 W Belvedere Ave Ste 102, Baltimore, MD 21215-5502 | 2020-09-04 |
| 1003479668 | Maryland Wellness LLC | Psychologist | 4128 Hayward Ave # W, Baltimore, MD 21215-4340 | 2019-04-19 |
| 1396128583 | New Beginnings LLC | Psychologist | 4010 W Belvedere Ave, Baltimore, MD 21215-5502 | 2015-07-07 |
| 1780065359 | Preventive Measures, LLC | Psychologist | 5819 Allentown Rd, Camp Springs, MD 20746-4570 | 2015-06-09 |
| 1932541638 | Yehuda Bergman | Psychologist | 3001 Temple Gate Rd, Baltimore, MD 21209-3832 | 2013-07-23 |
| 1487993861 | Mpb Health & Healing Inc | Psychologist | 5840 Banneker Rd Ste 270, Columbia, MD 21044-3103 | 2013-02-05 |
| 1538492608 | Richard H. Schreder, Ph.d., P.a. | Psychologist | 6024 Chesworth Rd., Catonsville, MD 21228-2715 | 2009-09-08 |
| 1346489887 | Psychotherapeutic Services of Southern Maryland, Inc. | Psychologist | 870 High St Ste 2, Chestertown, MD 21620-3914 | 2009-02-06 |
| 1558581868 | Laurie Bloom Levinson | Psychologist | 660 Straffan Dr, Timenium, MD 21093 | 2007-04-27 |
| 1477613578 | Psychotherapeutic Services of Southern Maryland | Psychologist | 337 Brightseat Rd, Sutie 106 and 107, Landover, MD 20785-4736 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
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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.