CLINICAL NEUROSCIENCE, LLC (NPI# 1437335320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437335320 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEUROSCIENCE, LLC |
| Practice Address |
11055 Little Patuxent Pkwy Suite 209 Columbia MD 21044-2896 |
| Mailing Address |
4509 Rosedale Ave Bethesda MD 20814-4754 |
| Practice Telephone | 4109971928 |
| Practice Fax Number | 4109971929 |
| Mailing Telephone | 4109971928 |
| Mailing Fax Number | 4109971929 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | DR. THAIS D WEIBEL (OWNER) |
| Authorized Official Telephone | 4109971928 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D0057645 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
11055 LITTLE PATUXENT PKWY SUITE 209 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706618 | Bruce Michael Conger | Internal Medicine | 11055 Little Patuxent Pkwy, Suite103, Columbia, MD 21044-2896 | 2005-08-03 |
| 1861868622 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11055 Little Patuxent Pkwy, Suite 204, Columbia, MD 21044-2896 | 2015-08-17 |
| 1427434521 | Stacy Bartolich | Nurse Practitioner | 11055 Little Patuxent Pkwy, Suite 205, Columbia, MD 21044-2896 | 2015-07-31 |
| 1225462963 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 11055 Little Patuxent Pkwy, Suite L-1, Columbia, MD 21044 | 2013-08-29 |
| 1356645220 | Howard Open Mri LLC | Clinic/Center | 11055 Little Patuxent Pkwy, Suite L9, Columbia, MD 21044-2896 | 2011-01-06 |
| 1548562119 | St. Agnes Healthcare, Inc. | Clinic/Center | 11055 Little Patuxent Pkwy, L6, Columbia, MD 21044-2896 | 2010-12-02 |
| 1427380302 | Maryland Ivf Fertility Health & Wellness Center | Clinic/Center | 11055 Little Patuxent Pkwy, Columbia, MD 21044-2896 | 2010-02-03 |
| 1124250923 | Katherine Mansfield Houle | Social Worker | 11055 Little Patuxent Pkwy, Suite 201, Columbia, MD 21044-2896 | 2009-08-13 |
| 1336374321 | Rafeena Bacchus | Internal Medicine | 11055 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2896 | 2009-05-20 |
| 1902075997 | Charles J. Lancelotta Jr., M.d., P.a. | Specialist | 11055 Little Patuxent Pkwy, Suite L7, Columbia, MD 21044-2896 | 2008-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| 1629598990 | Nicole Alyssa Hogan | Psychiatry & Neurology | Neurology Department, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2017-06-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1780061234 | Alex Mirzoev | Psychiatry & Neurology | 1333 Taylor St Ste 1c, Columbia, SC 29201-2944 | 2015-05-05 |
| 1770997108 | Nimit Nakul Patel | Psychiatry & Neurology | 8 Medical Park, Ste 420, Neurology Dept, Columbia, SC 29203 | 2014-06-13 |
| 1497195390 | Ravish Ashokkumar Kothari | Psychiatry & Neurology | 8 Med Park Ste 420, Neurology, Columbia, SC 29203 | 2013-06-25 |
| Find all providers in COLUMBIA | ||||
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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.