CHESAPEAKE BEHAVIORAL HEALTH CENTER, LLC (NPI# 1437118742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437118742 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE BEHAVIORAL HEALTH CENTER, LLC |
| Practice Address |
217 Main St Suite B Reisterstown MD 21136-1213 |
| Practice Telephone | 4108330581 |
| Practice Fax Number | 4108338604 |
| Mailing Telephone | 4108330581 |
| Mailing Fax Number | 4108338604 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | MS. LUCY J. CORREA-CASHDOLLAR (PRACTICE MANAGER) |
| Authorized Official Telephone | 4108330581 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0020136 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA | 0007543711 | 01 |
| MD | MEDICARE GROUP NUMBER | 225P | 01 |
| MD | CAREFIRST OF MARYLAND | 284CCH | 01 |
| MD | 4168160 00 | 05 | |
| MD | GHMSI & BLUE CHOICE, INC | K876 | 01 |
| Street Address |
217 MAIN ST SUITE B |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730143991 | Emerald Health Center, Inc | Psychologist | 217 Main St, Reisterstown, MD 21136-1213 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154698363 | Andres Armando Ramos-irizarry,m.d. | Psychiatry & Neurology | 12614 Gores Mill Rd, Reisterstown, MD 21136-5127 | 2011-11-17 |
| 1881815603 | Michele K. Trazkovich | Psychiatry & Neurology | 17 Sunday Ct., Reisterstown, MD 21136-6111 | 2007-05-01 |
| 1942309810 | Eduardo Rodriguez De La Cruz | Psychiatry & Neurology | 125 Persimmon Cir, Reisterstown, MD 21136 | 2006-09-21 |
| 1487620423 | Elsa Isabel Correa | Psychiatry & Neurology | 217 Main Street, Reisterstown, MD 21136-1213 | 2006-02-28 |
| 1366651648 | Carl Sicard | Psychiatry & Neurology | 37 Main St, Reisterstown, MD 21136-1236 | 2007-05-22 |
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| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1982226924 | Child and Adult Psychiatry Services LLC | Psychiatry & Neurology | 6024 Pure Sky Pl, Clarksville, MD 21029-1238 | 2020-05-13 |
| 1992327068 | Emros Behavioral Healthcare Services LLC | Psychiatry & Neurology | 700 Henderson Rd, Bel Air, MD 21014-2515 | 2020-05-12 |
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.