PYRAMID WALDEN LLC (NPI# 1174869291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174869291 |
| Entity Type | Organization |
| Organization Name | PYRAMID WALDEN LLC |
| Practice Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
| Practice Telephone | 3019971300 |
| Practice Fax Number | 3012900280 |
| Mailing Telephone | 3019971300 |
| Mailing Fax Number | 3012900280 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | ANNA MCGEE (BILLING MANAGER) |
| Authorized Official Telephone | 3019971300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH-915 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4214480-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1447851993 | Pyramid Walden LLC | Social Worker | 44863 St Andrews Church Road, California, MD 20619 | 2020-11-02 |
| 1093340408 | Pyramid Walden LLC | Substance Abuse Rehabilitation Facility | 44867 St. Andrews Church Rd., California, MD 20619-2061 | 2020-03-05 |
| 1538696869 | Pyramid Walden LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-05-17 |
| 1881960821 | Pyramid Walden LLC | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2012-03-23 |
| 1306128434 | Pyramid Walden LLC | Social Worker | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2011-09-14 |
| Street Address |
30007 BUSINESS CENTER DR |
| City | CHARLOTTE HALL |
| State | MD |
| Zip Code | 20622-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
| 1841829223 | Shannan N Eaddy | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2020-04-07 |
| 1023655388 | Carla Hall | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-12-05 |
| 1548724040 | Jemill Hester Kollore | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-29 |
| 1457815680 | Emery Myers | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-22 |
| 1568931996 | Elizabeth Morison Orff | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2018-11-14 |
| 1760995021 | Siyami Egbase Takha | Nurse Practitioner | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2017-11-08 |
| 1588174536 | James Matthew Willett | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-10-04 |
| 1750800769 | Laura Ebach | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
| 1154840015 | Paschaun Miller | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
| 1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
| 1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
| 1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
| 1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
| Find all providers in zip 20622 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972807956 | Board of Child Care of The United Methodist Church, Inc. | Community/Behavioral Health | 30049 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2011-01-05 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
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| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTE HALL |
| Zip Code | 20622 |
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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.