FAMILY LIFE FOUNDATION (NPI# 1316441223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316441223 |
| Entity Type | Organization |
| Organization Name | FAMILY LIFE FOUNDATION |
| Practice Address |
5513 York Rd Baltimore MD 21212-3804 |
| Practice Telephone | 4438504106 |
| Mailing Telephone | 4438504106 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | ELIZABETH OWOLABI (CEO) |
| Authorized Official Telephone | 4438504106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | FAMILY LIFE FOUNDATION | 10448 E Weaver Cir, Englewood, CO 80111 |
| Street Address |
5513 YORK RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597420 | Margaret Temitayo Owolabi | Clinic/Center | 5513 York Rd, Baltimore, MD 21212-3804 | 2017-09-25 |
| 1841853264 | Dominion Resource Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5513 York Rd, Baltimore, MD 21212-3804 | 2019-04-22 |
| 1528572153 | Familychoice Clinic LLC | Clinic/Center | 5513 York Rd, Baltimore, MD 21212-3804 | 2017-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353852 | Dara G Friedman-wheeler | Psychologist | 117 Brandon Rd, Baltimore, MD 21212-1128 | 2020-07-10 |
| 1134418429 | Keenan Kester Cofield | Psychologist | 2126 Pitney Rd, Baltimore, MD 21234-4924 | 2011-04-07 |
| 1144425992 | Mark Reader, Ph.d., P.a. | Psychologist | 3655 Old Court Rd, Suite 22, Baltimore, MD 21208-3905 | 2007-06-20 |
| 1700842903 | Russell J Hibler | Psychologist | 857 Park Ave, Baltimore, MD 21201-4800 | 2006-04-25 |
| 1982049631 | Lindsay Cirincione | Psychologist | 707 N Broadway, Room 213, Baltimore, MD 21205 | 2013-05-08 |
| 1104187640 | Mahmood A. Syed | Psychologist | 6918 Ridge Rd, Baltimore, MD 21237-3854 | 2012-05-31 |
| 1295050938 | Adrianna Amari | Psychologist | 707 N Broadway, Baltimore, MD 21205-1832 | 2010-04-06 |
| 1093952509 | Gail H Goldberg | Psychologist | 6501 N Charles St, Baltimore, MD 21204-6819 | 2009-01-21 |
| 1912158544 | Melissa Collison Hendricks | Psychologist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2008-10-01 |
| 1235336231 | Michael F Cataldo | Psychologist | 707 N Broadway, Suite 200l, Baltimore, MD 21205-1832 | 2007-07-02 |
| Find all providers in BALTIMORE | ||||
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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.