MONTGOMERY COUNTY MARYLAND GOVERNMENT (NPI# 1619387933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619387933 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY COUNTY MARYLAND GOVERNMENT |
| Other Organization Name | CHILD AND ADOLESCENT MENTAL HEALTH CLINIC |
| Practice Address |
7300 Calhoun Pl Rockville MD 20855-2790 |
| Mailing Address |
101 Monroe St Rockville MD 20850-2503 |
| Practice Telephone | 2407771116 |
| Mailing Telephone | 2407772500 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | MR. TIMOTHY FIRESTINE (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 2407772500 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTGOMERY COUNTY MARYLAND GOVERNMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 265431804 | 05 |
| Other Name | Type Code |
|---|---|
| Child and Adolescent Mental Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621707 | Montgomery County Maryland Government | Pediatrics | 19401 Crystal Rock Dr, Germantown, MD 20874-1593 | 2020-02-19 |
| 1740636216 | Montgomery County Maryland Government | Clinic/Center | 12401 Dalewood Dr, Silver Spring, MD 20906-4114 | 2016-05-13 |
| 1982059564 | Montgomery County Maryland Government | Clinic/Center | 12601 Dalewood Dr, Silver Spring, MD 20906-4114 | 2016-05-02 |
| 1306262670 | Montgomery County Maryland Government | Clinic/Center | 22880 Whelan Ln, Boyds, MD 20841-9011 | 2014-03-11 |
| 1114348927 | Montgomery County Maryland Government | Clinic/Center | 4910 Macon Rd, Rockville, MD 20852-2228 | 2013-12-20 |
| 1326480146 | Montgomery County Maryland Government | Clinic/Center | 3301 Weller Rd, Silver Spring, MD 20906-4156 | 2013-07-22 |
| 1780026500 | Montgomery County Maryland Government | Clinic/Center | 11711 Joseph Mill Rd, Silver Spring, MD 20906-4868 | 2013-07-22 |
| 1720429194 | Montgomery County Maryland Government | Clinic/Center | 314 S Frederick Ave, Gaithersburg, MD 20877-2307 | 2013-07-12 |
| 1699116061 | Montgomery County Maryland Government | Clinic/Center | 10301 Apple Ridge Rd, Gaithersburg, MD 20886-1013 | 2013-07-12 |
| 1760829436 | Montgomery County Maryland Government | Case Management | 11 N Washington St Ste 450, Rockville, MD 20850-4281 | 2013-06-04 |
| Street Address |
7300 CALHOUN PL |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20855-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528481207 | Ellen Levin | Social Worker | 7300 Calhoun Pl, Suite 600, Rockville, MD 20855-2790 | 2014-01-30 |
| 1770011744 | Stephanie Lianee Kelley | Social Worker | 7300 Calhoun Pl, Rockville, MD 20855-2790 | 2017-06-02 |
| 1891242582 | Michelle Martinez | Social Worker | 7300 Calhoun Pl, Rockville, MD 20855-2790 | 2016-09-09 |
| 1194185629 | Yvette Cocozzella | Social Worker | 7300 Calhoun Pl, Suite 600, Rockville, MD 20855-2790 | 2016-02-25 |
| 1912378043 | Amber Mitchell | Social Worker | 7300 Calhoun Pl, Rockville, MD 20855-2790 | 2015-10-15 |
| 1639549132 | Bidhya Joshi | Social Worker | 7300 Calhoun Pl, Rockville, MD 20855-2790 | 2015-09-28 |
| 1053792788 | Nancy Jo Montier | Counselor | 7300 Calhoun Pl, Suite 600, Rockville, MD 20855-2790 | 2015-06-18 |
| 1568872125 | Sheryl Orr | Social Worker | 7300 Calhoun Pl, Rockville, MD 20855 | 2014-05-05 |
| 1407272412 | Blaine Clarke | Social Worker | 7300 Calhoun Pl, Suite 600, Rockville, MD 20855-2790 | 2014-03-14 |
| 1184040594 | Teresa Elisa Tudder | Counselor | 7300 Calhoun Pl, Suite 600, Rockville, MD 20855-2790 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801388525 | Michael Robinson | Behavior Technician | 7613 Standish Place, Rockville, MD 20855 | 2018-05-30 |
| 1144722885 | Samantha Green | Occupational Therapist | 15850 Crabbs Branch Way # 150, Rockville, MD 20855 | 2018-03-07 |
| 1144690157 | Katrina Williams | Psychologist | 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 | 2015-10-02 |
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1104155167 | Nicole Renee Christenson | Nurse Practitioner | 6001 Muncaster Mill Rd., Rockville, MO 20855 | 2009-12-21 |
| 1104093244 | Diane Klucinikas Boyd | Audiologist | 18520 Azalea Drive, Derwood, MD 20855 | 2008-05-08 |
| 1437320413 | Shana Rene Mizzer | Social Worker | 8915 Shady Grove Court, Derwood, MD 20855 | 2008-03-18 |
| 1083786032 | Mary Foster Herbers | Social Worker | 15521 Villisca Terrace, Rockville, MD 20855 | 2006-11-14 |
| 1063583698 | Samuel Blum | Dentist | 15720 Crabbs Branch Way, No 1 C, Rockville, MD 20855 | 2006-11-13 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| Find all providers in zip 20855 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869679 | Sheppard Pratt Health System, Inc. | Clinic/Center | 4915 Aspen Hill Rd, Rockville, MD 20853-3709 | 2007-01-22 |
| 1841305232 | Maryland Treatment Centers, Inc. | Clinic/Center | 402-404 Hungerford Drive, Rockville, MD 20850-4119 | 2006-08-19 |
| 1861036436 | Adika Counseling, LLC | Clinic/Center | 2275 Research Blvd Ste 500, Rockville, MD 20850-6203 | 2019-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209815 | Stride Forward Counseling LLC | Clinic/Center | 9 Newburg Ave Ste 102, Catonsville, MD 21228-5157 | 2020-09-15 |
| 1033724513 | S and S Properties 3 | Clinic/Center | 6122 Reisterstown Rd, Baltimore, MD 21215-3423 | 2020-09-11 |
| 1205440195 | Kevin Eugene Harvell | Clinic/Center | 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 | 2020-09-08 |
| 1528679834 | Erc Maryland | Clinic/Center | 7505 Osler Dr Ste 405, Towson, MD 21204-7739 | 2020-08-11 |
| 1245879386 | Anne Arundel County, Maryland | Clinic/Center | 839 Bestgate Rd Ste 300, Annapolis, MD 21401-3473 | 2020-01-06 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1841847241 | Imperial Healthcare Services LLC | Clinic/Center | 547 Riverside Dr Ste A, Salisbury, MD 21801-5369 | 2019-08-20 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1497213581 | Pathways Inc | Clinic/Center | 2670 Crain Hwy Ste 300, Waldorf, MD 20601-2817 | 2019-03-07 |
| 1629553037 | Win Team, LLC | Clinic/Center | 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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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.