COMMUNITY THERAPEUTIC CENTER,INC (NPI# 1417416694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417416694 |
| Entity Type | Organization |
| Organization Name | COMMUNITY THERAPEUTIC CENTER,INC |
| Practice Address |
4640 Forbes Blvd Ste 310 Lanham MD 20706-4889 |
| Practice Telephone | 2407645133 |
| Mailing Telephone | 2407645133 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MR. EMMANUEL O OWOOJE (PRESIDENT) |
| Authorized Official Telephone | 2407645133 |
| Is Organization Subpart | Y |
| Parent Organization Name | OUT PATIENT MENTAL HEALTH CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1900222600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265954226 | Community Therapeutic Center,inc | Community/Behavioral Health | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2017-07-12 |
| 1992348635 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd, Lanham, MD 20706-4323 | 2019-10-25 |
| 1548803893 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd, Lanham, MD 20706-4323 | 2019-10-18 |
| 1922641307 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-10-18 |
| Street Address |
4640 FORBES BLVD STE 310 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265954226 | Community Therapeutic Center,inc | Community/Behavioral Health | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2017-07-12 |
| 1922641307 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-10-18 |
| 1427611284 | Genesis Pediatrics of Maryland,inc. | Pediatrics | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| 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 |
|---|---|---|---|---|
| 1487266649 | First Choice Fountain Care | Clinic/Center | 8919 91st Pl, Lanham, MD 20706-1911 | 2020-08-19 |
| 1578036521 | Alphonso Lewis | Clinic/Center | 10104 Senate Dr Ste 228, Lanham, MD 20706-4395 | 2019-01-02 |
| 1346740511 | Delight Healthcare Services, Inc | Clinic/Center | 9470 Annapolis Rd # 114, Lanham, MD 20706-3025 | 2018-02-14 |
| 1538367669 | Eelssen International, LLC | Clinic/Center | 4200 Forbes Blvd Ste 202, Lanham, MD 20706-4829 | 2007-07-10 |
| 1851348536 | Alek's House, LLC | Clinic/Center | 4200 Forbes Blvd, Ste 104, Lanham, MD 20706-4342 | 2006-05-28 |
| 1831759984 | Abundant Healthcare Services Inc | Clinic/Center | 9831 Greenbelt Rd Ste 103, Lanham, MD 20706-6224 | 2019-06-19 |
| 1821568122 | Metropolitan Behavioral Health Services, Inc | Clinic/Center | 5900 Princess Garden Pkwy Ste 670, Lanham, MD 20706-2957 | 2018-11-29 |
| 1366927774 | Win Team, LLC | Clinic/Center | 10001 Derekwood Ln Ste 210, Lanham, MD 20706-4865 | 2018-10-02 |
| 1275024960 | Echo Therapy Services, LLC | Clinic/Center | 6944 Nashville Rd, Lanham, MD 20706-4614 | 2018-05-29 |
| 1922537067 | Eyerosie LLC | Clinic/Center | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2017-06-11 |
| Find all providers in LANHAM | ||||
Please comment or provide details below to improve the information on COMMUNITY THERAPEUTIC CENTER,INC.
| 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.