FAMILY MENTAL CLINIC LLC (NPI# 1225574023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225574023 |
| Entity Type | Organization |
| Organization Name | FAMILY MENTAL CLINIC LLC |
| Practice Address |
5570 Sterrett Pl 100 Columbia MD 21044-2641 |
| Practice Telephone | 4438967664 |
| Mailing Telephone | 4438967664 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | OSAMA ALI ABULSEOUD (PSYCHIATRIST) |
| Authorized Official Telephone | 4438967664 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
5570 STERRETT PL 100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790710432 | Michelle Renee Willis | Social Worker | 5570 Sterrett Pl, Suite 101, Columbia, MD 21044-2641 | 2006-07-11 |
| 1245779685 | Creatively, LLC | Community/Behavioral Health | 5570 Sterrett Pl, Ste 100, Columbia, MD 21044-2641 | 2017-02-17 |
| 1629512603 | Family Therapy Group, LLC | Marriage & Family Therapist | 5570 Sterrett Pl, Suite 305, Columbia, MD 21044-2641 | 2016-12-12 |
| 1992254122 | Regina Durso | Social Worker | 5570 Sterrett Pl, Suite 206, Columbia, MD 21044-2641 | 2016-09-29 |
| 1366899197 | Jody Southall | Acupuncturist | 5570 Sterrett Pl, Suite 308, Columbia, MD 21044-2641 | 2016-05-23 |
| 1811372311 | Sandy Lynne Rappeport | Social Worker | 5570 Sterrett Pl, Suite 206, Columbia, MD 21044-2641 | 2015-07-25 |
| 1861898983 | Jennum Christine O'hara | Acupuncturist | 5570 Sterrett Pl, Suite 210, Columbia, MD 21044-2641 | 2014-11-17 |
| 1750787602 | Lev Grotel | Social Worker | 5570 Sterrett Pl, Suite 206, Columbia, MD 21044-2641 | 2014-11-04 |
| 1790187185 | Marcie Alayne Lovell | Counselor | 5570 Sterrett Pl, 206, Columbia, MD 21044-2641 | 2014-09-17 |
| 1104257906 | Columbia Addictions Center | Counselor | 5570 Sterrett Pl, Suite 205, Columbia, MD 21044-2641 | 2013-12-03 |
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|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405782 | Lumos Counseling & Wellness Center | Clinic/Center | 5537 Twin Knolls Rd Ste 439, Columbia, MD 21045-3270 | 2018-11-02 |
| 1508235110 | Health Access 360, LLC | Clinic/Center | 4711 Forest Dr Ste 3-276, Columbia, SC 29206-3125 | 2015-09-24 |
| 1861875908 | Whetstone Valley Stables LLC | Clinic/Center | 3368 Murphy Ln, Columbia, TN 38401-5741 | 2015-07-07 |
| 1013292465 | University of Missouri Student Health Center | Clinic/Center | 1101 Hospital Drive Dc 800 00, Columbia, MO 65212-0001 | 2011-10-18 |
| 1982984365 | Reality House, Inc. | Clinic/Center | 1900 E Prathersville Rd, Columbia, MO 65202-9260 | 2011-08-17 |
| 1336387778 | Pollock Psychiatry LLC | Clinic/Center | 116 Belle Grove Cir, Columbia, SC 29229-8906 | 2009-01-22 |
| 1538760657 | Breakthrough Behavioral Health Services LLC | Clinic/Center | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296 | 2020-11-04 |
| 1831797539 | New England Holistic Well-being Center LLC | Clinic/Center | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-14 |
| 1932737624 | Maya Rake, Lisw-cp LLC | Clinic/Center | 2221 Bull St, Columbia, SC 29201-1901 | 2020-03-30 |
| 1942854021 | Bridgette Ratnam, LLC | Clinic/Center | 10015 Old Columbia Rd Ste B215, Columbia, MD 21046-1865 | 2019-07-28 |
| 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.