GEMINI HEALTH HOLDINGS LLC (NPI# 1487280152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487280152 |
| Entity Type | Organization |
| Organization Name | GEMINI HEALTH HOLDINGS LLC |
| Practice Address |
6816 Deerpath Rd Suite 201 and 107 Elkridge MD 21075 |
| Mailing Address |
2702 Back Acre Cir Ste 290b Mount Airy MD 21771-7769 |
| Practice Telephone | 3017038767 |
| Practice Fax Number | 3017038886 |
| Mailing Telephone | 3017038767 |
| Mailing Fax Number | 3017038886 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | STACI POWELL (BILLING MANAGER) |
| Authorized Official Telephone | 3017038767 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1487280087 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-16 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
| 1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
| Street Address |
6816 DEERPATH RD SUITE 201 AND 107 |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182240 | Pediatric Gastroenterology Specialists of Maryland LLC | Pediatrics | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-09-01 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1467087023 | Angela Keck | Counselor | 6816 Deerpath Rd, Elkridge, MD 21075-7392 | 2020-03-04 |
| 1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
| 1487169769 | Elkridge Asc LLC | Clinic/Center | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-12-07 |
| 1285149567 | Gemini Asc Elkridge LLC | Clinic/Center | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977268 | Gift 2 Uplift 2 Inc | Psychologist | 3325 Prince Edward Dr, White Plains, MD 20695-3448 | 2020-03-23 |
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1225677883 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 204, Baltimore, MD 21202-4736 | 2019-12-31 |
| 1659815587 | Eddie Freeman | Psychologist | 880 W Lombard St, Baltimore, MD 21201-1057 | 2016-12-12 |
| 1699012252 | Murugi Wa Mungai | Psychologist | 4914 Good Hours Pl, Columbia, MD 21044-1508 | 2013-01-15 |
| 1265716138 | Towson Addictions Center | Psychologist | 102 W Pennsylvania Ave Ste 306, Towson, MD 21204-4543 | 2011-10-10 |
| 1710284344 | Emily Massey | Psychologist | 222 Courthouse Ct, Suite 2d, Towson, MD 21204-1828 | 2011-02-17 |
| 1427292507 | North Baltimore Center, Inc | Psychologist | 2225 N Charles Steet, Baltimore City, MD 21218 | 2009-04-21 |
| 1750559654 | Sheila Mary Harron | Psychologist | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2008-02-13 |
| 1700931177 | Insight Treatment Services | Psychologist | 4920 Niagara Rd, Ste 101, College Park, MD 20740-1110 | 2007-01-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GEMINI HEALTH HOLDINGS LLC.
| 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.