DR. JEE-YOUNG AHN (NPI# 1588798607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588798607 |
| Entity Type | Individual |
| Full Name | DR. JEE-YOUNG AHN |
| Practice Address |
10 N Jefferson St Ste 403 Frederick MD 21701-4823 |
| Practice Telephone | 3016208700 |
| Practice Fax Number | 3013208710 |
| Mailing Telephone | 3016208700 |
| Mailing Fax Number | 3013208710 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
4941 | MD | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
4941 | MD | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 4941 | MD | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 4941 | MD | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
4941 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10 N JEFFERSON ST STE 403 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296604 | Laura A Michie Ccc Slp | Speech-Language Pathologist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2019-10-09 |
| 1104389071 | Tara Lynn Ketteringham | Counselor | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2019-04-09 |
| 1801358973 | Sheena Walters | Counselor | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2019-04-05 |
| 1326518234 | Dynamic Occupational Therapy, LLC | Occupational Therapist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2018-12-04 |
| 1730695792 | Inner-evolution Counseling, Coaching and Yoga LLC | Counselor | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2017-12-28 |
| 1255850129 | Passageways Therapy and Counseling, LLC | Social Worker | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2017-09-12 |
| 1053793133 | Lisa Gregory | Massage Therapist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998829 | Anna Elizabeth Pozzatti | Psychologist | 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 | 2020-09-23 |
| 1356969802 | Together We Rise LLC | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-10 |
| 1336769561 | Breakthrough Therapeutic Concepts, LLC. | Psychologist | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 | 2020-04-17 |
| 1033772272 | Stephanie Judd | Psychologist | 3901 Rosemary St, Chevy Chase, MD 20815-5223 | 2019-04-14 |
| 1942794870 | Annie Rabinovitch | Psychologist | 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 | 2018-06-14 |
| 1972094167 | Bk Behavioral Health Center | Psychologist | 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 | 2018-05-23 |
| 1477938215 | Deborah A Odonnell, Phd, Clinical Psychologist, LLC | Psychologist | 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887 | 2015-07-22 |
| 1336535319 | Roderick Irving Wellington | Psychologist | 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 | 2015-04-07 |
| 1225438344 | Marjorie Katherine Mccalla | Psychologist | 720 Aliceanna St, Baltimore, MD 21202-4387 | 2014-08-26 |
| 1992122923 | Kendel Wylie-pugh | Psychologist | 4309 Travancore Ct, Randallstown, MD 21133-1315 | 2014-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JEE-YOUNG AHN.
| 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.