FREDERICK INSTITUTE (NPI# 1417232513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417232513 |
| Entity Type | Organization |
| Organization Name | FREDERICK INSTITUTE |
| Practice Address |
5716 Industry Ln Ste C Frederick MD 21704-5202 |
| Practice Telephone | 3016634130 |
| Mailing Telephone | 3016634130 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |
| Authorized Official Name | MR. NEAL BERCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3016634130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
903854 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 721210100 | 05 |
| Street Address |
5716 INDUSTRY LN STE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841453 | Focus Recovery Center LLC | Clinic/Center | 801 Toll House Ave # B1&b2, Frederick, MD 21701-4564 | 2020-04-28 |
| 1194295840 | Genesis Treatment Services, LLC | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2018-11-26 |
| 1205359270 | Concerted Care Group Frederick LLC | Clinic/Center | 300 Scholls Ln, Frederick, MD 21701-6380 | 2017-07-21 |
| 1528012754 | Smith Berch, Inc. | Clinic/Center | 5716 Industry Ln, Frederick, MD 21704-5224 | 2006-05-20 |
| 1538789136 | Genesis Treatment Services | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2020-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1538700372 | Open Arms & Hearts Health Services, LLC | Clinic/Center | 1532 Ocean Hwy Unit 101104, Pocomoke City, MD 21851-3023 | 2019-10-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1396300398 | Bel Air Recovery Center, LLC | Clinic/Center | 2014 S Tollgate Rd Ste 106, Bel Air, MD 21015-5906 | 2019-05-06 |
| 1386128387 | Veni Vidi Vici Treatment Services, LLC. | Clinic/Center | 4b North Ave Ste 302, Bel Air, MD 21014-2304 | 2018-09-17 |
| 1447730890 | Evergreen Treatment Services LLC | Clinic/Center | 2120 Pulaski Hwy, Havre De Grace, MD 21078-2127 | 2018-08-15 |
| 1659861607 | Winchester Health LLC | Clinic/Center | 1315 Bloomingdale Rd, Baltimore, MD 21216-3922 | 2018-05-15 |
| 1083102511 | Riverside Treatment Services Lansdowne, LLC | Clinic/Center | 1903 Lansdowne Rd, Lansdowne, MD 21227-1707 | 2018-04-30 |
| 1568960854 | Wicomico County Health Department | Clinic/Center | 203 Newton St, Salisbury, MD 21801-5452 | 2018-02-01 |
| 1578078531 | Chesapeake Treatment Services Ocean City LLC | Clinic/Center | 12417 Ocean Gtwy Ste 7, Ocean City, MD 21842-9522 | 2017-12-12 |
| Find all providers with the same taxonomy | ||||
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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.