SAMUEL ALAN ZACK (NPI# 1457739112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739112 |
| Entity Type | Individual |
| Full Name | SAMUEL ALAN ZACK |
| Credential | CSC-AD, NCC, ADS |
| Practice Address |
981 Rollins Ave Rockville MD 20852-5615 |
| Practice Telephone | 2407771683 |
| Practice Fax Number | 2407774169 |
| Mailing Telephone | 2407771683 |
| Mailing Fax Number | 2407774169 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC0938 | MD | Behavioral Health & Social Service Providers |
| Street Address |
981 ROLLINS AVE |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568520054 | Stephen Edward Wiggins | Family Medicine | 981 Rollins Ave, Rockville, MD 20852-5615 | 2006-12-05 |
| 1649878505 | Leonor Isabel Lara Rodriguez | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2020-10-13 |
| 1679199418 | Ferne Alexis Childress | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2020-06-17 |
| 1164077533 | Sylvie Perroud | Registered Nurse | 981 Rollins Ave, Rockville, MD 20852-5615 | 2019-08-02 |
| 1750943767 | Dawn Bellinger | Registered Nurse | 981 Rollins Ave, Rockville, MD 20852-5615 | 2019-07-01 |
| 1962947234 | Reginald Briggs | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2016-12-22 |
| 1184177933 | Sheryl Townsend | Registered Nurse | 981 Rollins Ave, Rockville, MD 20852-5615 | 2016-07-28 |
| 1306299094 | Jeffrey Lee Mueller | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2016-07-18 |
| 1235502899 | Gregory Joynes | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2015-11-04 |
| 1811394075 | Montgomery County Maryland Government | Clinic/Center | 981 Rollins Ave, Rockville, MD 20852-5615 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912323312 | Hardy Gene Bennett | Counselor | 401 Hungerford Dr Rm 458, Rockville, MD 20850-4154 | 2014-03-10 |
| 1710270277 | Lisa Marie Howard | Counselor | 120 Gibbs St, 473, Rockville, MD 20850-0361 | 2011-05-17 |
| 1508874397 | Jacquelyn Ned Mann | Counselor | 6001 Montrose Rd Ste 102, Rockville, MD 20852-4872 | 2006-08-04 |
| 1710945225 | Rise Hannah Page | Counselor | 206 N Adams St, Rockville, MD 20850-1829 | 2006-05-03 |
| 1396372751 | Andrew William Jillson | Counselor | 7300 Calhoun Pl Ste 700, Rockville, MD 20855-3702 | 2020-03-25 |
| 1265906259 | Maria Cecelia Herald | Counselor | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2019-01-14 |
| 1467920918 | D.a. Wynne & Associates,inc. | Counselor | 11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668 | 2018-11-02 |
| 1588166417 | Sharon Lemone | Counselor | 255 Rockville Pike Ste 145, Rockville, MD 20850-5136 | 2018-03-07 |
| 1922500867 | Veronica Henry | Counselor | 255 Rockville Pike Ste 145, Rockville, MD 20850-5136 | 2018-03-07 |
| 1962947234 | Reginald Briggs | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2016-12-22 |
| Find all providers in ROCKVILLE | ||||
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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.