ARUNDEL LODGE, INC (NPI# 1144872409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144872409 |
| Entity Type | Organization |
| Organization Name | ARUNDEL LODGE, INC |
| Practice Address |
92 W Washington St Annapolis MD 21401-2432 |
| Mailing Address |
2600 Solomons Island Rd Edgewater MD 21037-1102 |
| Practice Telephone | 4434335900 |
| Practice Fax Number | 4108416045 |
| Mailing Telephone | 4434335900 |
| Mailing Fax Number | 4108416045 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | CYNTHIA GARMOE (HUMAN RESOURCES/CREDENTIALING) |
| Authorized Official Telephone | 4434335900 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARUNDEL LODGE, INC |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 414478300 | 05 | |
| MD | 409776900 | 05 |
| Other Name | Type Code |
|---|---|
| Youth Services Partnership Arundel Lodge at the Stanton Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644085 | Arundel Lodge, Inc | Community/Behavioral Health | 1819 Bay Ridge Ave Ste 220, Annapolis, MD 21403-2835 | 2014-10-09 |
| 1619515988 | Arundel Lodge, Inc | Community/Behavioral Health | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 | 2019-12-17 |
| 1467928465 | Arundel Lodge, Inc | Community/Behavioral Health | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 | 2018-10-17 |
| 1609327261 | Arundel Lodge, Inc | Community/Behavioral Health | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 | 2016-10-19 |
| 1255516506 | Arundel Lodge, Inc | Community/Behavioral Health | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 | 2008-01-07 |
| 1386829661 | Arundel Lodge, Inc | Community/Behavioral Health | 337 Brightseat Rd, Landover, MD 20785-4736 | 2008-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ARUNDEL LODGE, INC. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Street Address |
92 W WASHINGTON ST |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848302 | Astrida A. Plucis | Family Medicine | 92 W Washington St, Annapolis, MD 21401-2432 | 2005-08-17 |
| 1124427190 | Della Roderick | Counselor | 92 W Washington St, Annapolis, MD 21401-2432 | 2014-08-15 |
| 1699188318 | Andrew Wilford Mueller | Counselor | 92 W Washington St, Annapolis, MD 21401-2432 | 2014-06-10 |
| 1790082394 | Annapolis Youth Services Bureau | Counselor | 92 W Washington St, Annapolis, MD 21401-2432 | 2011-02-16 |
| 1023323946 | Leon Washington Jr. | Counselor | 92 W Washington St, 2, Annapolis, MD 21401-2432 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1366052326 | Cedar Counseling & Wellness, LLC | Clinic/Center | 1997 Annapolis Exchange Pkwy Ste 300, Annapolis, MD 21401-3273 | 2020-08-05 |
| 1124637285 | Mind Performance LLC | Clinic/Center | 209 West St Ste 201, Annapolis, MD 21401-3644 | 2020-07-24 |
| 1467070540 | M Kim Wellness | Clinic/Center | 104 Forbes St Ste 205, Annapolis, MD 21401-1598 | 2020-07-06 |
| 1962980748 | Project Chesapeake, LLC | Clinic/Center | 185 Admiral Cochrane Dr, Annapolis, MD 21401-7493 | 2018-08-02 |
| 1174025175 | Project Chesapeake, LLC | Clinic/Center | 34 Defense St Ste 100, Annapolis, MD 21401-3578 | 2018-03-06 |
| 1265812549 | Committed To Change,p.c. | Clinic/Center | 420 Chinquapin Round Rd, Suite 2-i, Annapolis, MD 21401-4006 | 2015-06-02 |
| 1023495827 | Guiding Minds Therapeutic Counseling Center | Clinic/Center | 2525 Riva Rd, Annapolis, MD 21401-7411 | 2015-04-30 |
| 1245626464 | Committed To Change, P.C. | Clinic/Center | 420 Chinquapin Round Rd, Suite 2-i, Annapolis, MD 21401-4006 | 2015-04-14 |
| Find all providers in ANNAPOLIS | ||||
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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.