MAIN PLACE ADDICTION TREATMENT CENTER LLC. (NPI# 1619385630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619385630 |
| Entity Type | Organization |
| Organization Name | MAIN PLACE ADDICTION TREATMENT CENTER LLC. |
| Practice Address |
915 Toll House Ave Frederick MD 21701-5930 |
| Mailing Address |
365 W Patrick St Ste 202 Frederick MD 21701-4854 |
| Practice Telephone | 2405751324 |
| Practice Fax Number | 3016822053 |
| Mailing Telephone | 2405751324 |
| Mailing Fax Number | 3016822053 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | AMANDA MARIE GEYER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2405751324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 319411600 | 05 |
| Street Address |
915 TOLL HOUSE AVE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215825 | Jeffrey Nathan Cowen | Internal Medicine | 915 Toll House Ave, Suite 308, Frederick, MD 21701-5930 | 2005-06-17 |
| 1659724623 | Adobea Asiam | Nurse Practitioner | 915 Toll House Ave, Suite 103, Frederick, MD 21701-5930 | 2016-07-14 |
| 1578959615 | Progressive Oncology and Hematology Center LLC | Internal Medicine | 915 Toll House Ave, Suite 305, Frederick, MD 21701-5930 | 2015-04-14 |
| 1184971509 | Chronic Pain Treatment Centers | Clinic/Center | 915 Toll House Ave, Suite 103, Frederick, MD 21701-5930 | 2012-08-06 |
| 1386667681 | Digestive Disease Consultant of Frederick Endoscopy Ste | Clinic/Center | 915 Toll House Ave, Ste 201, Frederick, MD 21701-5901 | 2006-07-26 |
| 1023097862 | Allan Louis Mann | Podiatrist | 915 Toll House Ave, Ste 207, Frederick, MD 21701 | 2006-01-11 |
| 1124016506 | Dick Y Okino | Podiatrist | 915 Toll House Ave, #207, Frederick, MD 21701-5930 | 2005-10-11 |
| 1306839113 | John W Stroh | Podiatrist | 915 Toll House Ave, #207, Frederick, MD 21701-5930 | 2005-08-26 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730277435 | Maryland Treatment Centers, Inc. | Clinic/Center | 174 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4571 | 2006-10-10 |
| 1184239758 | North Range Behavioral Health | Clinic/Center | 5901 Majestic St, Frederick, CO 80504-6933 | 2020-09-10 |
| 1306458732 | Concerted Care Group Frederick LLC | Clinic/Center | 300b Scholls Ln, Frederick, MD 21701-6380 | 2020-08-18 |
| 1538657630 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 5301 Buckeystown Pike, Frederick, MD 21704-8370 | 2018-04-25 |
| 1952898306 | Associated Catholic Charities, Inc. | Clinic/Center | 300 W 9th St, Frederick, MD 21701-4541 | 2018-04-20 |
| 1780107631 | Concerted Care Group Frederick LLC | Clinic/Center | 300 Scholls Ln, Frederick, MD 21701-6380 | 2017-07-24 |
| 1215395298 | Terry Jane Austin | Clinic/Center | 27 W 7th St, Frederick, MD 21701-4689 | 2016-02-04 |
| 1992027726 | Serenity Treatment Center, Inc. | Clinic/Center | 420 E Patrick St, Frederick, MD 21701-5658 | 2010-02-21 |
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| 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.