PERSONALIZED ACADEMY OF LEARNING INC (NPI# 1629678974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629678974 |
Entity Type | Organization |
Organization Name | PERSONALIZED ACADEMY OF LEARNING INC |
Practice Address |
20945 Great Mills Rd Ste 201 Lexington Park MD 20653-5304 |
Mailing Address |
22593 Three Notch Rd California MD 20619-3054 |
Practice Telephone | 2402980222 |
Mailing Telephone | 2402980222 |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |
Authorized Official Name | KRISTI GETSON (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2402980222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PALS | Doing Business As Name - Organization |
Street Address |
20945 GREAT MILLS RD STE 201 |
City | LEXINGTON PARK |
State | MD |
Zip Code | 20653-5304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
1659910214 | Shannon Dawn Morley | Family Medicine | 45870 E Run Dr, Lexington Park, MD 20653 | 2019-12-31 |
1366080533 | Crystal Lynn Bradford | Counselor | 21770 Fdr Blvd., Lexington Park, MD 20653 | 2019-12-18 |
1205487584 | Paulette Tyrone Scriber | Technician | 20286 Scriber Ln, Lexington Park, MD 20653 | 2019-09-26 |
1073162103 | Bambii Kreal | Counselor | 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 | 2019-09-11 |
1376039479 | Arianna Marie Day | Social Worker | 21789 N Coral Drive - Ste 2a, Bowes and Associates Psychotherapy LLC, Lexington Park, MD 20653 | 2018-07-02 |
1982032694 | Trico Clinical Services, Ltd | Clinic/Center | 46707 S. Shangri La Drive, Lexington Park, MD 20653 | 2013-10-16 |
1891047726 | Axis Healthcare Group | Social Worker | 45870 East Run Drive, Lexington Park, MD 20653 | 2012-10-02 |
1013164466 | Denise Owens Mullinix | Dentist | 22749 Maple Road, Lexington Park, MD 20653 | 2008-08-27 |
1548440555 | Trico Clinical Services, Ltd | Counselor | 46940 S. Shangri La Drive, Lexington Park, MD 20653 | 2007-11-07 |
Find all providers in zip 20653 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
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1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
Find all providers with the same taxonomy |
City | LEXINGTON PARK |
Zip Code | 20653 |
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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.