LUCID PSYCHIATRIC PRACTICE LLC (NPI# 1235660457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235660457 |
| Entity Type | Organization |
| Organization Name | LUCID PSYCHIATRIC PRACTICE LLC |
| Other Organization Name | CENTERED COUNSELING SERVICES, INC. |
| Practice Address |
1200 E Joppa Rd Suite A Towson MD 21286-5810 |
| Practice Telephone | 4436329302 |
| Practice Fax Number | 4437982772 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | BRIAN ANDERSON (OWNER) |
| Authorized Official Telephone | 3013511061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R184691 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Centered Counseling Services, Inc. | Doing Business As Name - Organization |
| Street Address |
1200 E JOPPA RD SUITE A |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275750754 | Dr Rubeena Hosain Dmd Pa | Dentist | 1200 E Joppa Rd, Suite A, Towson, MD 21286-5810 | 2007-04-19 |
| 1073053104 | Bethany Nagel Therapy | Community/Behavioral Health | 1200 E Joppa Rd, Suite A1, Towson, MD 21286-5810 | 2017-03-08 |
| 1073064176 | Robert Bowen | Nurse Practitioner | 1200 E Joppa Rd, Towson, MD 21286-5810 | 2016-10-24 |
| 1366829863 | Bethany Nagel | Counselor | 1200 E Joppa Rd, A1, Towson, MD 21286-5810 | 2015-05-04 |
| 1932432424 | Rubeena Hosain | Dentist | 1200 E Joppa Rd, Suite A, Towson, MD 21286-5810 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1841789146 | Victoria Mojibola | Nurse Practitioner | 1045 Taylor Ave Ste 44d, Towson, MD 21286-8328 | 2018-05-02 |
| 1003314675 | Empowerment Healthcare Systems,llc | Nurse Practitioner | 1055 Taylor Ave Ste 216, Towson, MD 21286-8341 | 2018-01-29 |
| 1518903905 | Fishel, Watson, & Lemaire Pa | Nurse Practitioner | 110 E Pennsylvania Ave, Towson, MD 21286-5118 | 2006-06-22 |
| 1790382109 | Kacie Naylor | Nurse Practitioner | 658 Kenilworth Dr Ste 206, Towson, MD 21204-2334 | 2020-10-08 |
| 1962013425 | Grace Serafini | Nurse Practitioner | 6535 N Charles St Ste 300, Towson, MD 21204-5824 | 2020-08-10 |
| 1922621580 | Empowerment Healthcare Systems, LLC | Nurse Practitioner | 1055 Taylor Ave Ste 216, Towson, MD 21286-8341 | 2020-05-18 |
| 1932746062 | Ayorinde Oyeneyin | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2019-12-09 |
| 1700422177 | Ubachi Nonye Chukwuzubelu | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2019-11-20 |
| 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.