REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS - SOUTHERN MARYLAND (NPI# 1104805696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104805696 |
| Entity Type | Organization |
| Organization Name | REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS - SOUTHERN MARYLAND |
| Other Organization Name | RICA - SOUTHERN MARYLAND |
| Practice Address |
9400 Surratts Rd Cheltenham MD 20623-1324 |
| Practice Telephone | 3013721800 |
| Practice Fax Number | 3013721906 |
| Mailing Telephone | 3013721800 |
| Mailing Fax Number | 3013721906 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. AUDREY BONITA CHASE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3013721800 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MD | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| RICA - Southern Maryland | Doing Business As Name - Organization |
| Street Address |
9400 SURRATTS RD |
| City | CHELTENHAM |
| State | MD |
| Zip Code | 20623-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639207780 | Manjit Kaur Macker | Pediatrics | 9400 Surratts Rd, Rica Southern Maryland, Cheltenham, MD 20623-1324 | 2007-03-01 |
| 1417013749 | Jean Wheeler Smith | Psychiatry & Neurology | 9400 Surratts Rd, Cheltenham, MD 20623 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922467257 | Alexandra Diane Joyce Williams | Counselor | 10320 Blackstone Ave, Cheltenham, MD 20623 | 2016-02-15 |
| 1720591530 | Michelle S. Williams | Counselor | 10208 Farrar Ave, Cheltenham, MD 20623-1029 | 2017-11-15 |
| 1730335431 | Kyrese Angela Scott | Dietitian, Registered | 10708 Westwood Dr, Cheltenham, MD 20623-1107 | 2008-08-13 |
| 1295070563 | Shameeka Latoya Mcclain | Occupational Therapy Assistant | 10605 Bailey Dr, Cheltenham, MD 20623-1111 | 2012-11-28 |
| 1417569146 | Chiamaka Nwachukwu | Dietitian, Registered | 10511 Bailey Dr, Cheltenham, MD 20623-1113 | 2020-08-24 |
| 1386936425 | Valencia Chloe Smith | Registered Nurse | 10411 Blackstone Ave, Cheltenham, MD 20623-1124 | 2011-05-09 |
| 1124265111 | Rachel's Wings | In Home Supportive Care | 10402 Chepstow Pl, Cheltenham, MD 20623-1163 | 2009-01-13 |
| 1568892057 | Sherrell Izlar-carr | Social Worker | 10408 Terraco Dr, Cheltenham, MD 20623-1200 | 2013-11-19 |
| 1720448558 | Center for Mental Wellness & Assessments, Inc | Community/Behavioral Health | 10408 Terraco Dr, Cheltenham, MD 20623-1200 | 2016-03-07 |
| 1093231375 | Brenda Ann Baltimore | Massage Therapist | 10501 Terraco Ter, Cheltenham, MD 20623-1223 | 2017-08-17 |
| Find all providers in zip 20623 | ||||
| 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 |
|---|---|---|---|---|
| 1326219486 | North American Family Institute | Residential Treatment Facility, Emotionally Disturbed Children | 7960 Henryton Rd, Marriottsville, MD 21104-1103 | 2008-03-17 |
| 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 |
| 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 |
| 1063402121 | Rica-baltimore | Residential Treatment Facility, Emotionally Disturbed Children | 605 S Chapel Gate Ln, Baltimore, MD 21229-3906 | 2005-10-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CHELTENHAM |
| Zip Code | 20623 |
Please comment or provide details below to improve the information on REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS - SOUTHERN MARYLAND.
| 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.