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).
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 |
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 |
Street Address |
1680 E GUDE DR |
City | ROCKVILLE |
State | MD |
Zip Code | 20850-1360 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
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 |
1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
Find all providers in zip 20850 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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 |
Find all providers in ROCKVILLE |
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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.