INNOVATIVE PSYCHIATRY LLC (NPI# 1215398334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215398334 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PSYCHIATRY LLC |
| Practice Address |
8850 Columbia 100 Pkwy Suite 403 Columbia MD 21045-2374 |
| Practice Telephone | 4435420773 |
| Practice Fax Number | 4435420931 |
| Mailing Telephone | 4435420773 |
| Mailing Fax Number | 4435420931 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | ANANDRAJ MATTAI (OWNER) |
| Authorized Official Telephone | 4435420773 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D67668 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662907 | Innovative Psychiatry LLC | Psychiatry & Neurology | 375 N Stephanie St Ste 811, Henderson, NV 89014-8725 | 2020-09-02 |
| Street Address |
8850 COLUMBIA 100 PKWY SUITE 403 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923905 | Kendra Kirstie Kay | Internal Medicine | 8850 Columbia 100 Pkwy, Ste 301, Columbia, MD 21045-2377 | 2006-02-24 |
| 1659816254 | Javod K Gol Dds PC | Dentist | 8850 Columbia 100 Pkwy, Suite 312, Columbia, MD 21045-2374 | 2017-01-05 |
| 1124483029 | Roshni Liz Chettiar | Nurse Practitioner | 8850 Columbia 100 Pkwy, Suite 301, Columbia, MD 21045-2374 | 2015-12-18 |
| 1376910851 | Rachel Simms | Counselor | 8850 Columbia 100 Pkwy, #203, Columbia, MD 21045-2374 | 2015-08-31 |
| 1346575297 | George Lewis Carlson Jr. | Social Worker | 8850 Columbia 100 Pkwy, Suite 403, Columbia, MD 21045-2374 | 2009-10-09 |
| 1154558849 | Jocelyn Paulis Hagan | Social Worker | 8850 Columbia 100 Pkwy, Columbia, MD 21045-2374 | 2009-06-19 |
| 1457518243 | Edisa Tokovic Padder | Pediatrics | 8850 Columbia 100 Pkwy, Suite 301, Columbia, MD 21045-2374 | 2008-05-20 |
| 1174790851 | Cheryl Dewan Bansal | Specialist | 8850 Columbia 100 Pkwy, Suite 316, Columbia, MD 21045-2377 | 2008-05-13 |
| 1578736955 | Grace Dental Clinic, P.a. | Clinic/Center | 8850 Columbia 100 Pkwy, Suite 201, Columbia, MD 21045-2374 | 2008-04-08 |
| 1811177488 | Sheryl Denise Jefferson | Counselor | 8850 Columbia 100 Pkwy, 203, Columbia, MD 21045-2374 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1750910857 | Innovative Tms LLC | Psychiatry & Neurology | 9256 Bendix Rd Ste 205, Columbia, MD 21045-1848 | 2020-04-02 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1154988822 | Alliance Psychiatry LLC | Psychiatry & Neurology | 8840 Stanford Blvd Ste 4000, Columbia, MD 21045-5850 | 2019-05-28 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| Find all providers in COLUMBIA | ||||
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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.