PATRICK JOSEPH GRAVELINE (NPI# 1609915495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609915495 |
| Entity Type | Individual |
| Full Name | PATRICK JOSEPH GRAVELINE |
| Credential | PSY.D., BCBA-D |
| Practice Address |
10435 Downsville Pike Hagerstown MD 21740-1732 |
| Mailing Address |
1542 Andover Ln Frederick MD 21702-3722 |
| Practice Telephone | 3017668222 |
| Mailing Telephone | 4026135950 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4582 | MD | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 252502000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1542 Andover Ln, Frederick, MD 217023722 | (402) 613-5950 |
| Street Address |
10435 DOWNSVILLE PIKE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083680359 | Stephen Mellott | Social Worker | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2006-02-27 |
| 1518566231 | Caroline Florenzo | Occupational Therapist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-10-23 |
| 1700485539 | Kaitlyn Daley-rush | Social Worker | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-10-22 |
| 1720685662 | Cynthia Burton | Social Worker | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-10-05 |
| 1811503964 | Stephanie Diane Wells | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-23 |
| 1336755404 | Adetayo Ojudun | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-23 |
| 1811503105 | Lacey Hutcheson | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-22 |
| 1417563933 | Madison Barnes | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-21 |
| 1033722806 | Marybeth Raidt | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-08-31 |
| 1598378507 | Jennifer Gates | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184062986 | Ruth Ann Seidman | Psychologist | 38 S Potomac St, Suite 302, Hagerstown, MD 21740-6499 | 2013-06-13 |
| 1275546517 | Tara Louchery | Psychologist | 28 S Potomac St, #2r, Hagerstown, MD 21740-6194 | 2006-08-15 |
| 1447521307 | Michael Nelson Thoerig | Psychologist | 201 Prospect Ave, Suite 115, Hagerstown, MD 21742-3204 | 2012-01-24 |
| 1558327783 | Victoria Ann Baxter | Psychologist | 18714 N Village, Hagerstown, MD 21742-2454 | 2006-04-25 |
| 1114992427 | John E Burke | Psychologist | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497029 | Myles Schaultz | Psychologist | 202 Easton S Apt 101, Laurel, MD 20724-2131 | 2020-11-04 |
| 1609475979 | The Green Garden, LLC | Psychologist | 10635 York Rd Fl 2, Cockeysville, MD 21030-2357 | 2020-10-19 |
| 1225636830 | Samantha Reaves | Psychologist | 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815-5846 | 2020-10-15 |
| 1730786039 | Lisa Anne Joseph | Psychologist | 114 Lynnmoor Dr, Silver Spring, MD 20901-1515 | 2020-10-08 |
| 1619574365 | Brittany Pereira | Psychologist | 15744 Crabbs Branch Way, Derwood, MD 20855-2686 | 2020-10-06 |
| 1720695588 | Lisa Marie Moscatiello | Psychologist | 6618 Cockerille Ave, Takoma Park, MD 20912-4732 | 2020-09-25 |
| 1508473638 | Elisa D'olivier Ndombele -sisler | Psychologist | 3225 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-09-23 |
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1265044754 | Green Hill Psychotherapy | Psychologist | 112 Greenhill Rd, Greenbelt, MD 20770-1662 | 2020-08-18 |
| 1982214326 | Catherine Louise Ford | Psychologist | 3601 Nicholson St, Hyattsville, MD 20782-3234 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on PATRICK JOSEPH GRAVELINE.
| 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.