CORNERSTONE MONTGOMERY, INC. (NPI# 1326410234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326410234 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE MONTGOMERY, INC. |
| Practice Address |
6040 Southport Dr Bethesda MD 20814-1848 |
| Practice Telephone | 3014934200 |
| Practice Fax Number | 3014936209 |
| Mailing Telephone | 3014934200 |
| Mailing Fax Number | 3014936209 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | GWENDOLYN ZECHA (CFO) |
| Authorized Official Telephone | 3018964262 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNERSTONE MONTGOMERY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 4762 | MD | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891167706 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8915 Colesville Rd, Silver Spring, MD 20910-4339 | 2015-10-30 |
| 1548632193 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6112 Granby Rd, Derwood, MD 20855-1474 | 2015-10-22 |
| 1376915991 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1221 Arcola Ave, Wheaton, MD 20902-3407 | 2015-10-22 |
| 1831561463 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8205 Houston Ct, Takoma Park, MD 20912-6247 | 2015-10-22 |
| 1093187627 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3914 Tynewick Dr, Silver Spring, MD 20906-2665 | 2015-10-22 |
| 1871965400 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10615 Parkwood Dr, Kensington, MD 20895-4067 | 2015-10-22 |
| 1922470541 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 14221 Chadwick Ln, Rockville, MD 20853-2105 | 2015-10-22 |
| 1952773582 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 615 University Blvd E, Silver Spring, MD 20901-3769 | 2015-10-22 |
| 1972975506 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13436 Fountain Club Dr, Germantown, MD 20874-2176 | 2015-10-22 |
| 1134591985 | Cornerstone Montgomery, Inc. | Clinic/Center | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CORNERSTONE MONTGOMERY, INC. | 6040 Southport Dr, Bethesda, MD 20814-1848 |
| Street Address |
6040 SOUTHPORT DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725739 | Cornerstone Montgomery, Inc. | Clinic/Center | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2005-07-26 |
| 1992343370 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2019-12-16 |
| 1922591163 | Yvonne Medina | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2018-06-12 |
| 1881122034 | Jaline Gilliam | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2017-06-01 |
| 1871044784 | Agerie Ejigu | Nurse Practitioner | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-10-17 |
| 1619425865 | Rosa Moudene | Registered Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-09-16 |
| 1679923833 | Alexandra Friedman | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-20 |
| 1104276955 | Kathleen Kirk | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-13 |
| 1609239789 | Emily Picon | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-04-05 |
| 1124491543 | James Ladner | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821444852 | Ispar Foundation, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4635 River Rd, Bethesda, MD 20816-3031 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
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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.