BLUEFISH THERAPY AND CONSULTING, LLC


Address: 1680 E Gude Dr, Rockville, MD 20850-1360
Phone: 2407808254

BLUEFISH THERAPY AND CONSULTING, LLC (NPI# 1356816714) 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) 1356816714
Entity Type Organization
Organization Name BLUEFISH THERAPY AND CONSULTING, LLC
Practice Address 1680 E Gude Dr
Rockville
MD 20850-1360
Mailing Address Po Box 2326
Montgomery Village
MD 20886-2326
Practice Telephone 2407808254
Enumeration Date 2018-10-11
Last Update Date 2018-10-11
Authorized Official Name DR. JESSICA SAMUELSON (OWNER)
Authorized Official Telephone 2407808254
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1680 E GUDE DR
City ROCKVILLE
State MD
Zip Code 20850-1360

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770678195 Karen Margaret Morris Social Worker 1680 E Gude Dr, Suite 305, Rockville, MD 20850-1360 2006-10-03
1740822535 Sophia Pressley Counselor 1680 E Gude Dr, Rockville, MD 20850-1360 2019-10-13
1215465786 Tal Sadan Elitzur Counselor 1680 E Gude Dr, Rockville, MD 20850-1360 2017-05-30
1548686173 Best Practice Counseling & Consulting LLC Social Worker 1680 E Gude Dr, Suite 112, Rockville, MD 20850-1360 2014-03-06
1538502273 Qubenic M Yancey Counselor 1680 E Gude Dr, Suite 114, Rockville, MD 20850-1360 2013-04-11
1750630851 Jessica Samuelson Psychologist 1680 E Gude Dr, Rockville, MD 20850-1360 2012-09-05
1205193281 Sarah Read Edmunds Counselor 1680 E Gude Dr, #104, Rockville, MD 20850-1360 2012-04-16
1346545878 Amy Craig-van Grack Social Worker 1680 E Gude Dr, Suite 112, Rockville, MD 20850-1360 2011-01-13
1104949817 Metropolitan Med Trauma Group Clinic/Center 1680 E Gude Dr, Rockville, MD 20850-1341 2007-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1750924205 Omer N Pamuk Internal Medicine 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 2019-10-28
1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
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1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
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1538641964 Shamire Pierre-louis Speech-Language Pathologist 2 Research Place, Rockville, MD 20850 2018-09-01
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427522614 Vivianlevicounseling, LLC Clinic/Center 1680 E Gude Dr Ste 303, Rockville, MD 20850-1372 2019-01-22
1134591985 Cornerstone Montgomery, Inc. Clinic/Center 2 Taft Ct, A, Rockville, MD 20850-1307 2015-10-20
1386620581 Willow Oak Therapy Center, Inc. Clinic/Center 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2005-12-20
1942786967 Nora Talavera Wellness & Health Mental LLC Clinic/Center 50 W Edmonston Dr Ste 502, Rockville, MD 20852-1222 2018-07-12
1861936106 Oasis Rockville, LLC Clinic/Center 3202 Tower Oaks Blvd, Suite 100, Rockville, MD 20852-4219 2016-12-06
1679997472 Montgomery County Maryland Government Clinic/Center 1301 Piccard Dr, Rockville, MD 20850-4320 2014-02-13
1780008003 The Primary Care Coalition of Montgomery County, Maryland Clinic/Center 7300 Calhoun Pl Ste 600, Rockville, MD 20855-3701 2014-02-06
1801227939 Montgomery County Maryland Government Clinic/Center 255 Rockville Pike, Rockville, MD 20850-4153 2013-11-27
1417227505 Recovery Health Services, LLC Clinic/Center 14701 Avery Rd, Rockville, MD 20853-3605 2012-01-05
1356649057 Maryland Treatment Centers, Inc. Clinic/Center 14701 Avery Rd, Rockville, MD 20853-3605 2011-03-03
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Competitor

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City ROCKVILLE
Zip Code 20850

Improve Information

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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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