PAMELA NICOLE MATTHEW (NPI# 1265050819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265050819 |
| Entity Type | Individual |
| Full Name | PAMELA NICOLE MATTHEW |
| Practice Address |
5710 Ritchie Hwy Brooklyn Park MD 21225-3641 |
| Mailing Address |
718 Seagrove Rd Glen Burnie MD 21060-6960 |
| Practice Telephone | 4106365600 |
| Mailing Telephone | 4436109465 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC2624 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5710 RITCHIE HWY |
| City | BROOKLYN PARK |
| State | MD |
| Zip Code | 21225-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490808 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-03-23 |
| 1770193724 | Matthew Burger | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2020-08-05 |
| 1255833026 | Kimberly Taylor | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2018-03-07 |
| 1831691690 | Project Chesapeake, LLC | Clinic/Center | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2018-03-07 |
| 1720580590 | Project Chesapeake, LLC | Community/Behavioral Health | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2018-03-07 |
| 1225544703 | Mellissa Holt | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2017-12-20 |
| 1477069987 | Elizabeth Walters | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2017-12-19 |
| 1154770527 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
| Find all providers in zip 21225 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417569765 | Erin Michelle Walters | Counselor | 2638 Brookdale Ln, Brooklyn Park, MN 55444-2314 | 2020-08-18 |
| 1538777131 | Fresh Start Counseling | Counselor | 3808 83rd Ave N, Brooklyn Park, MN 55443-2753 | 2020-07-20 |
| 1225318637 | True Foundation,llc | Counselor | 8557 Wyoming Ave N Ste 6, Brooklyn Park, MN 55445-1847 | 2011-08-17 |
| 1447497920 | John Thomas Maclin Jr. | Counselor | 8500 Edinbrook Parkway #a, Brooklyn Park, MN 55443 | 2009-01-21 |
| 1144244047 | Duane G Schaefer | Counselor | 9201 75th Ave N, Brooklyn Park, MN 55428-1024 | 2006-07-26 |
| 1144227430 | Living Free Recovery Services, LLC | Counselor | 9201 75th Avenue North, Brooklyn Park, MN 55428 | 2005-07-01 |
| 1770193724 | Matthew Burger | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2020-08-05 |
| 1255833026 | Kimberly Taylor | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2018-03-07 |
| 1225544703 | Mellissa Holt | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2017-12-20 |
| 1477069987 | Elizabeth Walters | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2017-12-19 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 21225 |
Please comment or provide details below to improve the information on PAMELA NICOLE MATTHEW.
| 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.