UPMC WESTERN MARYLAND CORPORATION (NPI# 1285779884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285779884 |
| Entity Type | Organization |
| Organization Name | UPMC WESTERN MARYLAND CORPORATION |
| Other Organization Name | WMHS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
12502 Willowbrook Rd Suite 380 Cumberland MD 21502-6393 |
| Practice Telephone | 2409648585 |
| Practice Fax Number | 2409648586 |
| Mailing Telephone | 2409648585 |
| Mailing Fax Number | 2409648586 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MICHELE MARTZ (SR. VP CFO) |
| Authorized Official Telephone | 2409647376 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPMC WESTERN MARYLAND CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | MD | Behavioral Health & Social Service Providers | |
| N | 103T00000X | Psychologist | MD | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MD | Behavioral Health & Social Service Providers | |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC BS | KN31 | 01 |
| DC | BLUE CHOICE | M093 | 01 |
| MD | RAILROAD MEDICARE | C10132 CE7390 | 01 |
| MD | 407340100 | 05 | |
| MD | 653131800 | 05 |
| Other Name | Type Code |
|---|---|
| UPMC Western Maryland | Doing Business As Name - Organization |
| WMHS Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1578898631 | Upmc Western Maryland Corporation | Technician, Pathology | 12400 Willowbrook Rd, Cumberland, MD 21502-2559 | 2009-10-07 |
| 1215558416 | Upmc Western Maryland Corporation | Clinic/Center | 45 Hunt Club Dr, Ridgeley, WV 26753-7567 | 2020-04-29 |
| 1790042950 | Upmc Western Maryland Corporation | Technician, Pathology | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2012-04-12 |
| 1083936629 | Upmc Western Maryland Corporation | Clinic/Center | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-02-24 |
| 1902926686 | Upmc Western Maryland Corporation | Clinic/Center | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-03-29 |
| 1639206410 | Upmc Western Maryland Corporation | Physiological Laboratory | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-02-27 |
| 1013051119 | Upmc Western Maryland Corporation | Physiological Laboratory | 625 Kent Ave, Cumberland, MD 21502-3794 | 2007-02-20 |
| 1184769952 | Upmc Western Maryland Corporation | Dietetic Technician, Registered | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-02-20 |
| 1174667802 | Upmc Western Maryland Corporation | Clinic/Center | 12502 Willowbrook Rd, Suite 250, Cumberland, MD 21502-6491 | 2007-02-16 |
| Street Address |
12502 WILLOWBROOK RD SUITE 380 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677908 | Jose T Loveria | Internal Medicine | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2005-05-31 |
| 1215536008 | Jade Hensinger | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-10-22 |
| 1528688454 | Isaac Quinn Ducharme | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-04-21 |
| 1801351978 | Anne P Nguyen | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2019-02-04 |
| 1750867362 | Krystal Abucevicz-swick | Nurse Practitioner | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-07-17 |
| 1194212688 | Taylor E Douthitt | Counselor | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-04-19 |
| 1881196681 | Tammy Collette | Nurse Practitioner | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-03-07 |
| 1487161501 | Allison Mckenna Rich | Dietitian, Registered | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-01-10 |
| 1396273520 | Sheena Marie Willison Buskirk | Family Medicine | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2017-06-01 |
| 1114451374 | Ann Beeman | Social Worker | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 | 2017-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| 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 |
|---|---|---|---|---|
| 1679824239 | Mohammad Ayan Ghairatmal | Psychiatry & Neurology | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2012-09-24 |
| 1649591421 | Jonathan Villas Dela Luna | Psychiatry & Neurology | 2180 Mendon Rd Ste 21, Cumberland, RI 02864-3825 | 2010-06-16 |
| 1699097378 | Committed To Change, P.C. | Psychiatry & Neurology | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2010-02-22 |
| 1093996746 | Jeremy Alan Herschler | Psychiatry & Neurology | 12500 Willowbrook Rd Se, Cumberland, MD 21501-1745 | 2007-11-23 |
| 1316039605 | Karen Olson | Psychiatry & Neurology | 42 Flintlock Dr, Cumberland, ME 04021-4121 | 2006-09-28 |
| 1669483558 | Jean W. Helz | Psychiatry & Neurology | 546 N Centre St, Cumberland, MD 21502-2126 | 2006-08-10 |
| 1346288867 | Veluppillai Nagulendran | Psychiatry & Neurology | 81 Baltimore St, Cumberland, MD 21502-3008 | 2006-06-04 |
| 1467412262 | Anthony H Umpierre | Psychiatry & Neurology | 300 E Oldtown Rd, Cumberland, MD 21502-3600 | 2006-03-24 |
| 1891792461 | Robert Lynn | Psychiatry & Neurology | 134 Baltimore St, Cumberland, MD 21502-2302 | 2005-06-28 |
| 1366957631 | Jonathan Dela Luna, Md, LLC | Psychiatry & Neurology | 2180 Mendon Rd Ste 21, Cumberland, RI 02864-3825 | 2017-12-08 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.