SUPPORTIVE CARE OF MARYLAND LLC (NPI# 1447802616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447802616 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE CARE OF MARYLAND LLC |
| Practice Address |
4409 E West Hwy Riverdale MD 20737-1058 |
| Mailing Address |
27 Randolph Rd Howell NJ 07731-8611 |
| Practice Telephone | 7182984375 |
| Mailing Telephone | 7182984375 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | RAPHAEL LICHTSCHEIN (OWNERR) |
| Authorized Official Telephone | 7185061115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
4409 E WEST HWY |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407802010 | Crescent Cities Charities Inc | Assisted Living Facility | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2006-05-25 |
| 1285190520 | Crescent Cities Snf LLC | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2019-02-12 |
| 1740759463 | Crescent Cities Snf LLC | Skilled Nursing Facility | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2018-11-26 |
| 1083190516 | Md Pacs 2 PC | Hospitalist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2018-07-18 |
| 1326578451 | Sindy Nohemy Chicas Romero | Occupational Therapy Assistant | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2017-06-12 |
| 1740729151 | Crescent Cities Charities Inc | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2017-02-17 |
| 1013266170 | George Glenn France Jr. | Physical Therapy Assistant | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2012-09-05 |
| 1700166790 | David Lee Moses | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2011-08-22 |
| 1366635625 | Tracy Anne Bryan-oliver | Physical Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2007-08-21 |
| 1598962839 | June Elaine Brown Davis | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2007-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578811196 | Nubian Consultant & Coaching Services, LLC | Psychologist | 1955 Levgard Ln, Riverdale, GA 30296-2427 | 2012-08-29 |
| 1740424902 | Lon Hamilton Jr. | Psychologist | 6600 Furman Ct, Riverdale, MD 20737-3009 | 2009-04-30 |
| 1659415917 | Ann Lorene Brock | Psychologist | 6315 Garden Walk Blvd, Riverdale, GA 30274-2628 | 2007-02-19 |
| 1245305036 | Eileen Waterbury Stahl | Psychologist | 44 State Hwy 23 No, Suite 3, Riverdale, NJ 07457-0003 | 2006-11-21 |
| 1922182161 | Emile Bertrand Gurstelle | Psychologist | 44 Route 23 North, Suite 3, Riverdale, NJ 07457-0003 | 2006-10-24 |
| 1487902094 | Joyce Wingate-sligh | Psychologist | 1955 Levgard Ln, Riverdale, GA 30296-2427 | 2012-08-29 |
| 1023328606 | Dina Eva Kalnicki | Psychologist | 521 W 239th St, Riverdale, NY 10463 | 2010-10-15 |
| 1053466169 | Theresa Stueland Kay | Psychologist | 5149 S 1500 W, Riverdale, UT 84405 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634241 | Respire Behavioral Health | Psychologist | 479 Jumpers Hole Rd Ste 306, Severna Park, MD 21146-1751 | 2020-09-23 |
| 1407466832 | Christine Lay | Psychologist | 920 Providence Rd Ste 101, Towson, MD 21286-2979 | 2020-07-31 |
| 1003424474 | Minds Matter Psychological Services | Psychologist | 10015 Old Columbia Rd Ste B33, Columbia, MD 21046-1703 | 2020-07-21 |
| 1245858877 | Allison Rinker St. John | Psychologist | 5480 Wisconsin Ave Ste 210, Chevy Chase, MD 20815-3529 | 2020-07-09 |
| 1588288187 | Donald Jay Palmer | Psychologist | 17601 Lafayette Dr, Olney, MD 20832-2124 | 2020-05-31 |
| 1710507249 | Claudia Chamberlain Zohorsky | Psychologist | 9027 Furrow Ave, Ellicott City, MD 21042-1841 | 2020-04-24 |
| 1306465216 | Cara Miller Phd LLC | Psychologist | 1220 Blair Mill Rd Apt 1104, Silver Spring, MD 20910-4813 | 2020-04-10 |
| 1457987828 | Anne Marie Zwycewicz | Psychologist | 6510 Belleview Dr, Columbia, MD 21046-1000 | 2020-03-18 |
| 1447880919 | Thomas Muha | Psychologist | 1410 Forest Dr Ste 24, Annapolis, MD 21403-1446 | 2020-01-23 |
| 1295381374 | Judith Lomax | Psychologist | 8501 Colesville Rd Ste 210, Silver Spring, MD 20910-3775 | 2019-08-14 |
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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.