PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC (NPI# 1184748667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184748667 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC |
| Practice Address |
4401 E West Hwy Suite 206 B Bethesda MD 20814-4523 |
| Practice Telephone | 3019076695 |
| Practice Fax Number | 3019076771 |
| Mailing Telephone | 3019076695 |
| Mailing Fax Number | 3019076771 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | TERESA RICHARDSON (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 3019076695 |
| Authorized Official Credential | CRNP,BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R121391 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4401 E WEST HWY SUITE 206 B |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753475 | Ellen E. Cronin | Psychiatry & Neurology | 4401 E West Hwy, Suite 202, Bethesda, MD 20814-4523 | 2006-01-03 |
| 1639477565 | Fredric B. Kleiner, Ph.d. & Associates, P.C. | Clinic/Center | 4401 E West Hwy, Suite 307, Bethesda, MD 20814-4523 | 2011-03-01 |
| 1861721243 | Jason M. Goldberg, Lcsw-c | Social Worker | 4401 E West Hwy, Suite 207, Bethesda, MD 20814-4523 | 2009-12-15 |
| 1972741122 | Pamela Tan | Surgery | 4401 E West Hwy, Ste 208, Bethesda, MD 20814-4531 | 2009-01-27 |
| 1538325386 | Sally Breggin Burman | Social Worker | 4401 E West Hwy, Suite 200, Bethesda, MD 20814-4523 | 2008-07-31 |
| 1821206459 | Veronica Rogers Everett | Social Worker | 4401 E West Hwy, Suite 307, Bethesda, MD 20814-4523 | 2007-05-18 |
| 1801983804 | Terry Louise Ullman | Social Worker | 4401 E West Hwy, Suite 202, Bethesda, MD 20814-4523 | 2006-10-10 |
| 1639125446 | Jonathan Lebolt | Social Worker | 4401 E West Hwy, Bethesda, MD 20814-4523 | 2006-05-25 |
| 1952381121 | Charles H Simpkinson | Psychologist | 4401 E West Hwy, 200, Bethesda, MD 20814-4523 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145468 | Francine Mefeussom Kamhoua | Nurse Practitioner | 4401 E West Hwy # 504, Bethesda, MD 20814-4523 | 2020-08-19 |
| 1851903454 | Wiseminds Center for Integrative Telepsychiatry | Nurse Practitioner | 4701 Sangamore Rd Ste N100, Bethesda, MD 20816-2558 | 2020-08-17 |
| 1801413448 | Stephine Oparaugo | Nurse Practitioner | 4901 Battery Ln Apt 3, Bethesda, MD 20814-4902 | 2020-06-30 |
| 1295208593 | Mindview Behavioral Health and Wellness | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-01-09 |
| 1679967889 | Sasha Tova Bergeron | Nurse Practitioner | 8030 Woodmont Ave Fl 3, Bethesda, MD 20814-3027 | 2015-03-25 |
| 1760726525 | Jae Hoon Kim | Nurse Practitioner | 7201 Wisconsin Ave Ste 450, Bethesda, MD 20814-4835 | 2012-11-19 |
| 1093025462 | Chana Rose Engel | Nurse Practitioner | 9000 Rockville Pike Nih Nimh, Bldg 10, Rm 1-3633, Bethesda, MD 20892-0001 | 2010-10-19 |
| 1518953371 | Betsy Brach | Nurse Practitioner | 8313 Fenway Rd, Bethesda, MD 20817-2734 | 2005-09-26 |
| 1033722962 | Francis Aneke | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2020-08-29 |
| 1114562246 | Ebonique Katress Mcclinnahan | Nurse Practitioner | 8901 Wisconsin Ave, Bethesda, MD 20889-4701 | 2019-11-13 |
| Find all providers in BETHESDA | ||||
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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.