HARBOUR HOUSE, INC (NPI# 1336654474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336654474 |
| Entity Type | Organization |
| Organization Name | HARBOUR HOUSE, INC |
| Practice Address |
5 Oak Ct Annapolis MD 21401-7017 |
| Mailing Address |
Po Box 3603 Baltimore MD 21214-0603 |
| Practice Telephone | 4102663040 |
| Practice Fax Number | 4433783540 |
| Mailing Telephone | 4102553539 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | ROGER RILEY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4102553539 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
905693 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034728 | Harbour House, Inc | Community/Behavioral Health | 15 Oak Ct, Annapolis, MD 21401-7017 | 2020-02-10 |
| 1720610579 | Harbour House, Inc | Community/Behavioral Health | 8350 Woodland Rd, Millersville, MD 21108-1701 | 2020-02-10 |
| 1437778586 | Harbour House, Inc | Community/Behavioral Health | 10 Oak Ct, Annapolis, MD 21401-7017 | 2020-04-09 |
| 1548892029 | Harbour House, Inc | Community/Behavioral Health | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2020-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HARBOUR HOUSE, INC. | 9 W 57th St Ste 4500, New York, New York 10019 |
| Street Address |
5 OAK CT |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679786388 | Roger Riley | Counselor | 5 Oak Ct, Annapolis, MD 21401-7017 | 2007-05-08 |
| 1891201471 | Harbour House Inc | Counselor | 5 Oak Ct, Annapolis, MD 21401-7017 | 2017-12-19 |
| 1912417213 | Interventions, LLC | Clinic/Center | 5 Oak Ct, Annapolis, MD 21401-7017 | 2017-10-02 |
| 1801306030 | Interventions, LLC | Clinic/Center | 5 Oak Ct, Annapolis, MD 21401-7017 | 2017-10-02 |
| 1083032106 | Interventions | Psychiatry & Neurology | 5 Oak Ct, Annapolis, MD 21401-7017 | 2014-04-04 |
| 1386813483 | Katherine Mendez-mahone | Counselor | 5 Oak Ct, Annapolis, MD 21401-7017 | 2008-02-22 |
| 1962680645 | Katherine Ann Rovendro | Counselor | 5 Oak Ct, Annapolis, MD 21401-7017 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073417 | Jenna Darby Hirschmann | Counselor | 185 Admiral Cochrane Dr Ste 120, Annapolis, MD 21401-7600 | 2019-09-26 |
| 1225684582 | Hunter Hastings | Counselor | 2568 Riva Rd, Annapolis, MD 21401-7405 | 2019-08-13 |
| 1578079992 | Catherine M Quimby | Counselor | 34 Defense St Ste 100, Annapolis, MD 21401-3578 | 2017-12-21 |
| 1306399035 | Lacy Ann Hare | Counselor | 251 Rowe Blvd, Room 224, Annapolis, MD 21401-1539 | 2016-07-29 |
| 1982006193 | Therapeutic Value LLC | Counselor | 90 Edgewood Ave, Annapolis, MD 21401-4010 | 2014-09-18 |
| 1154765386 | John B Norris | Counselor | 2025 Harbour Gates Dr, Annapolis, MD 21401-2183 | 2013-04-18 |
| 1588956379 | Cynthia Beth Hurd | Counselor | 2610 Greenbriar Ln, Annapolis, MD 21401-4424 | 2011-05-11 |
| 1851509368 | George Scott Jakovics | Counselor | 1831 Forest Dr Ste D, Annapolis, MD 21401-4430 | 2007-05-18 |
| 1063561249 | Clean and Sober | Counselor | 929 West St, Suite 207, Annapolis, MD 21401-3626 | 2007-01-09 |
| 1255426573 | J'aime Nowell | Counselor | 1160 Spa Rd, Suite 1b, Annapolis, MD 21403-1022 | 2006-10-03 |
| Find all providers in ANNAPOLIS | ||||
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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.