CHARM CITY MENTAL HEALTH PRACTICE, LLC (NPI# 1184093221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184093221 |
| Entity Type | Organization |
| Organization Name | CHARM CITY MENTAL HEALTH PRACTICE, LLC |
| Practice Address |
100 West Rd Ste 112 Towson MD 21204-2358 |
| Practice Telephone | 4439276535 |
| Practice Fax Number | 4108280300 |
| Mailing Telephone | 4439276535 |
| Mailing Fax Number | 4108280300 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2020-10-24 |
| Authorized Official Name | RACHEL COURTNEY MATYJA (OWNER/RESIDENT AGENT) |
| Authorized Official Telephone | 4439276535 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LC6058 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSED CLINICAL PROFESSIONAL COUNSELOR | LC6058 | 01 |
| Street Address |
100 WEST RD STE 112 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888008 | Rachel Courtney Matyja | Counselor | 100 West Rd Ste 112, Towson, MD 21204-2358 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
| 1861032120 | Karen C. Fragetta, Ph.d., LLC | Clinic/Center | 1122 Kenilworth Dr Ste 100, Towson, MD 21204-2142 | 2020-01-14 |
| 1174183081 | Therapeutic Greenhouse | Clinic/Center | 222 Bosley Ave Ste C3, Towson, MD 21204-4399 | 2019-06-13 |
| 1295233617 | Roger A Lewin Md, LLC | Clinic/Center | 6525 N Charles St Ste 139, Towson, MD 21204-6829 | 2018-01-31 |
| 1992821771 | Associated Catholic Charities, Inc. | Clinic/Center | 1220 E Joppa Rd Ste 332, Towson, MD 21286-5811 | 2007-03-22 |
| 1225642101 | Dbt of Maryland | Clinic/Center | 7600 York Rd, Towson, MD 21204-7500 | 2020-09-08 |
| 1730790361 | Optimal Healthcare Services LLC | Clinic/Center | 1045 Taylor Ave Ste 44d, Towson, MD 21286-8328 | 2020-08-17 |
| 1699385336 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 York Rd Ste 201, Towson, MD 21204-5243 | 2020-08-07 |
| 1245702745 | Yes Initiative Outpatient Mental Health Clinic Inc | Clinic/Center | 515 E Joppa Rd Ste 100, Towson, MD 21286-1804 | 2018-12-20 |
| 1245710599 | Yes Initiative | Clinic/Center | 515 E Joppa Rd Ste 100, Towson, MD 21286-1804 | 2018-08-16 |
| Find all providers in TOWSON | ||||
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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.