MOSAIC COMMUNITY SERVICES TIMONIUM (NPI# 1265539142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265539142 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES TIMONIUM |
| Practice Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4104539553 |
| Mailing Telephone | 4104539553 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | MR. JEFF RICHARDSON (CEO) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 159380301 | 05 |
| Street Address |
1925 GREENSPRING DR |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689293 | Supriya Narang | Psychiatry & Neurology | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2006-02-21 |
| 1821578659 | Katrina Charlene Broughton | Counselor | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2018-08-21 |
| 1871944454 | Aderonke Dunni | Licensed Practical Nurse | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-06-25 |
| 1952755886 | Chevelle Johnson Brown | Counselor | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-04-18 |
| 1942663356 | Daphine Leake | Counselor | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-04-01 |
| 1023476991 | Monique Celeste Wilson | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-02-05 |
| 1275900979 | Deborah Higgins | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2015-08-28 |
| 1578944377 | Lisa Vilar | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2015-06-17 |
| 1063699395 | Mosaic Community Services | Clinic/Center | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2008-01-29 |
| 1316089527 | Jeffrey Richardson | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| 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 |
|---|---|---|---|---|
| 1710038880 | Mosaic Community Services-fcc | Clinic/Center | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2007-01-16 |
| 1134279284 | Mosaic Community Services, Inc | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2007-01-11 |
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|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
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| 1700490562 | Denoor Healthcare Services Inc | Clinic/Center | 12123 Statewood Rd, Reisterstown, MD 21136-4709 | 2020-08-31 |
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1811519564 | Womens Healing Center LLC | Clinic/Center | 8167 Main St Ste 206, Ellicott City, MD 21043-4776 | 2020-05-15 |
| 1942821004 | Western Maryland Psychology LLC | Clinic/Center | 14407 Marsh Pike, Hagerstown, MD 21742-1647 | 2020-04-29 |
| 1295355352 | Bright Care Solutions LLC | Clinic/Center | 8702 Castlerock Ct, Laurel, MD 20723-2702 | 2020-04-19 |
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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.