MARYLAND TREATMENT CENTERS, INC (NPI# 1487891917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487891917 |
| Entity Type | Organization |
| Organization Name | MARYLAND TREATMENT CENTERS, INC |
| Other Organization Name | THE SHOEMAKER CENTER |
| Practice Address |
6655 Sykesville Rd Sykesville MD 21784-7966 |
| Practice Telephone | 4108761989 |
| Practice Fax Number | 4108761690 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | MR. WILLIAM J ROBY (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3014472361 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
903968 | MD | Ambulatory Health Care Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 903968 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 416228500 | 05 |
| Other Name | Type Code |
|---|---|
| The Shoemaker Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
| 1093175408 | Maryland Treatment Centers, Inc | Clinic/Center | 2801 Cheverly Ave, Cheverly, MD 20785-3125 | 2016-02-26 |
| Street Address |
6655 SYKESVILLE RD |
| City | SYKESVILLE |
| State | MD |
| Zip Code | 21784-7966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179961 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2005-10-27 |
| 1912564188 | Erica Davis | Pharmacist | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2019-05-23 |
| 1639606759 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2017-05-19 |
| 1396190807 | Way Station, Inc. | Community/Behavioral Health | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2016-05-03 |
| 1518354661 | Brian Benjamin | Psychiatry & Neurology | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2015-04-15 |
| 1629347406 | Carroll County Health Department | Public Health or Welfare | 6655 Sykesville Rd, M & S Building, 3rd Floor, Sykesville, MD 21784-7966 | 2011-12-22 |
| 1265730964 | Maryland Treatment Centers, Inc. | Clinic/Center | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2011-03-03 |
| 1477879450 | Uzelia Josheba Hall | Psychiatry & Neurology | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2010-04-15 |
| 1538397930 | Yolana Young | Psychiatry & Neurology | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2009-06-24 |
| 1881854925 | Jodi Krumrine Bond | Psychiatry & Neurology | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275513 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 7295 Buttercup Rd, Sykesville, MD 21784-7463 | 2019-09-26 |
| 1639606759 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2017-05-19 |
| 1730545419 | Ican't We Can | Substance Abuse Rehabilitation Facility | 1438 Liberty Rd, Sykesville, MD 21784-6493 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | SYKESVILLE |
| Zip Code | 21784 |
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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.