MARYLAND TREATMENT CENTERS, INC. (NPI# 1538507454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538507454 |
Entity Type | Organization |
Organization Name | MARYLAND TREATMENT CENTERS, INC. |
Other Organization Name | AVERY ROAD TREATMENT CENTER |
Practice Address |
14703 Avery Rd Rockville MD 20853-3605 |
Practice Telephone | 3017625613 |
Practice Fax Number | 3017623451 |
Mailing Telephone | 3017625613 |
Mailing Fax Number | 3017623451 |
Enumeration Date | 2013-06-13 |
Last Update Date | 2013-06-13 |
Authorized Official Name | MR. RICHARD H SAWYER SR. (DIRECTOR OF CONTRACTS MANAGEMENT) |
Authorized Official Telephone | 4439040145 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
904818 | MD | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Avery Road Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538428339 | Maryland Treatment Centers, Inc. | Clinic/Center | 1 Lawrence Ct, Rockville, MD 20850-1523 | 2012-05-14 |
1154626752 | Maryland Treatment Centers, Inc. | Clinic/Center | 1107 North Point Blvd Ste 205, Baltimore, MD 21224-3401 | 2011-01-13 |
1922244615 | Maryland Treatment Centers, Inc. | Clinic/Center | 2801 Cheverly Ave, 3rd and 4th Floor, Cheverly, MD 20785-3125 | 2008-12-30 |
1730277435 | Maryland Treatment Centers, Inc. | Clinic/Center | 174 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4571 | 2006-10-10 |
1619082005 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 14703 Avery Rd, Rockville, MD 20853-3605 | 2006-08-19 |
1841305232 | Maryland Treatment Centers, Inc. | Clinic/Center | 402-404 Hungerford Drive, Rockville, MD 20850-4119 | 2006-08-19 |
1144334178 | Maryland Treatment Centers, Inc. | Counselor | 3243 Eastern Ave, Baltimore, MD 21224-4013 | 2006-08-18 |
1508811936 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2006-05-24 |
1871949487 | Maryland Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2016-05-12 |
1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
Street Address |
14703 AVERY RD |
City | ROCKVILLE |
State | MD |
Zip Code | 20853-3605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619082005 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 14703 Avery Rd, Rockville, MD 20853-3605 | 2006-08-19 |
1316351760 | Kari Perez | Counselor | 14703 Avery Rd, Rockville, MD 20853-3605 | 2014-06-13 |
1174892293 | Recovery Health Services, LLC | Counselor | 14703 Avery Rd, Rockville, MD 20853-3605 | 2011-12-19 |
1942577184 | Mary Beth Blocker | Physician Assistant | 14703 Avery Rd, Rockville, MD 20853-3605 | 2011-11-16 |
1659533503 | Amir Abdullah | Counselor | 14703 Avery Rd, Rockville, MD 20853-3605 | 2008-07-01 |
1437317559 | Maryland Treatment Centers, Inc. | Clinic/Center | 14703 Avery Rd, Rockville, MD 20853-3605 | 2008-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487136701 | Products Exchange International | Non-emergency Medical Transport (VAN) | 4511 Faroe P Lace, A1, Rockville, MD 20853 | 2018-09-04 |
1831637180 | Hee K Park | Social Worker | 15422 Manor House Ter, Rockville, MD 20853 | 2017-02-07 |
1356898910 | Amelework Tesfaye Berhe | Nurse Anesthetist, Certified Registered | 4924 Arctic Terrace, Rockville, MD 20853 | 2016-09-01 |
1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
1245655927 | Christopher Best | Counselor | 4701 Avery Road, Rockville, MD 20853 | 2014-03-04 |
1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
1922358704 | Amy Wynne Luther-rockwell | Registered Nurse | 13815 Flint Rock Road, Rockville, MD 20853 | 2012-09-19 |
1689802456 | Dahlia Topolosky | Psychologist | 5818 B Hubbard Drive, Rockville, MD 20853 | 2009-06-30 |
1407035736 | Nancy Ruberto-beachler | Nutritionist | 4701 Jasmine Dr., Rockville, MD 20853 | 2007-11-02 |
Find all providers in zip 20853 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
1538428339 | Maryland Treatment Centers, Inc. | Clinic/Center | 1 Lawrence Ct, Rockville, MD 20850-1523 | 2012-05-14 |
1811394075 | Montgomery County Maryland Government | Clinic/Center | 981 Rollins Ave, Rockville, MD 20852-5615 | 2014-12-03 |
1639576895 | Montgomery County Maryland Government | Clinic/Center | 981 Rollins Ave, Rockville, MD 20852-5615 | 2014-12-03 |
1982972766 | Montgomery County Maryland Government | Clinic/Center | 981 Rollins Ave, Rockville, MD 20852-5615 | 2011-12-07 |
1760644835 | Maryland Treatment Centers Inc | Clinic/Center | 402 Hungerford Dr, Rockville, MD 20850-4119 | 2008-06-30 |
1851599260 | Whit Flint Recovery Inc | Clinic/Center | 14636 Rothgeb Dr, Rockville, MD 20850-5394 | 2007-07-06 |
1144340266 | Montgomery County Maryland Government | Clinic/Center | 981 Rollins Ave, Rockville, MD 20852-5615 | 2007-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
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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.