MOSAIC COMMUNITY SERVICES, INC. (NPI# 1629420583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629420583 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES, INC. |
| Practice Address |
4510 Wharf Point Ct Belcamp MD 21017-1212 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4104207292 |
| Practice Fax Number | 4436121436 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4436121436 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | SUE KESSLER (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 4104539553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MH-2042 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BHA | BH001366 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760731574 | Mosaic Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10311 Malcolm Cir, Apt. B, Cockeysville, MD 21030-3937 | 2012-09-07 |
| 1255886156 | Mosaic Community Services, Inc. | Case Management | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-08-20 |
| 1417402314 | Mosaic Community Services, Inc. | Case Management | 15 S Parke St, Suite 400, Aberdeen, MD 21001-4515 | 2016-08-20 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1629522248 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-08-11 |
| 1114370053 | Mosaic Community Services, Inc. | Case Management | 8003 Corporate Dr, Nottingham, MD 21236-4984 | 2016-07-15 |
| 1245682129 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1861844706 | Mosaic Community Services, Inc. | Clinic/Center | 1040 Hardees Dr Ste F, Aberdeen, MD 21001 | 2016-07-03 |
| 1588016422 | Mosaic Community Services, Inc. | Clinic/Center | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC COMMUNITY SERVICES, INC. | 2010 Groton Rd, Pocomoke City, MD 21851-2802 |
| Street Address |
4510 WHARF POINT CT |
| City | BELCAMP |
| State | MD |
| Zip Code | 21017-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548319056 | Alliance Inc | Community/Behavioral Health | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2007-01-10 |
| 1629522248 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-08-11 |
| 1245682129 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187390 | Lise M Greenberg | Family Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-01-05 |
| 1013912039 | Gloria Fern Moretz | Nurse Practitioner | 103 Bata Blvd, John Hopkins Community Physicians Waters Edge, Baltimore, MD 21017 | 2005-06-16 |
| 1689937260 | Glass Health Programs, Inc. | Community/Behavioral Health | 1361 Brass Mill Rd, Suite A, Bel Camp, MD 21017 | 2012-06-19 |
| 1861537532 | Laurie Bothwell | Emergency Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017 | 2007-02-21 |
| 1730237330 | Stephen E Gentile | Dentist | 1321 Riverside Pkwy, D 4, Belcamp, MD 21017 | 2007-01-08 |
| 1932204716 | Elizabeth Jo Johnson | Physician Assistant | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-14 |
| 1215031612 | Marilyn Moshay Cooper | Pediatrics | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-08 |
| 1619070125 | Bernhard Birnbaum | Internal Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-07 |
| 1689184442 | Arrow Child & Family Ministries of Maryland | Community/Behavioral Health | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2017-10-06 |
| 1346887486 | Lori Ann Levy | Occupational Therapist | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2019-12-09 |
| Find all providers in zip 21017 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 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.