GILEAD ASSOCIATES LLC


Address: 206 Mulberry Ridge Ct, Pasadena, MD 21122-7514
Phone: 4320380944

GILEAD ASSOCIATES LLC (NPI# 1295342772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295342772
Entity Type Organization
Organization Name GILEAD ASSOCIATES LLC
Practice Address 206 Mulberry Ridge Ct
Pasadena
MD 21122-7514
Practice Telephone 4320380944
Mailing Telephone 4320380944
Enumeration Date 2020-09-28
Last Update Date 2020-09-28
Authorized Official Name GBEMISOLA ELIZABETH PETER-OLAKIIGBE (FOUNDER)
Authorized Official Telephone 4320380944
Authorized Official Credential NURSE PRACTITION
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
GILEAD Behavior & Wellness Hub Former Legal Business Name - Organization

Office Location

Street Address 206 MULBERRY RIDGE CT
City PASADENA
State MD
Zip Code 21122-7514

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NPI Name Taxonomy Address Enumeration
1740889211 Hyunji Lee Pharmacist 8107 Governor Ritchie Highway, Pasadena, MD 21122 2020-10-25
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1730649922 Barrett Arthur Tollenger Counselor 2825 Mountain Road, Suite 204, Pasadena, MD 21122 2019-03-22
1750849543 Bradley J Spoon Counselor 8028 Ritchie Highway St. 312, Pasadena, MD 21122 2019-03-11
1366916553 Brittney Byrd Behavior Technician 7759 Middlegate Ct, Pasadena, MD 21122 2019-01-22
1780154310 Amanda Ann Zeller Speech-Language Pathologist 8515 Jenkins Road, Pasadena, MD 21122 2018-11-27
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1063968261 Chinedu Ikpemo Pharmacist 8051 Fort Smallwood Rd, Pasadena, MD 21122 2016-08-28
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1316073620 Foothill Family Service Clinic/Center 897 Granite Dr, Pasadena, CA 91101-3501 2007-02-23
1487668737 Los Angeles County Department of Mental Health Clinic/Center 220 S Raymond Ave, Suite 101, Pasadena, CA 91105-4109 2006-07-29
1356355697 Los Angeles County Department of Mental Health Clinic/Center 532 E Colorado Blvd Fl 8, Pasadena, CA 91101-2044 2006-07-29
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Competitor

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City PASADENA
Zip Code 21122

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Dataset Information

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.

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