DR. BRENDA ANN VIDAL


Address: 6441 Jefferson Pike, Frederick, MD 21703-7039
Phone: 3016686033

DR. BRENDA ANN VIDAL (NPI# 1649363037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649363037
Entity Type Individual
Full Name DR. BRENDA ANN VIDAL
Credential PSY.D.
Practice Address 6441 Jefferson Pike
Frederick
MD 21703-7039
Mailing Address 20227 Waters Row Ter
Germantown
MD 20874-3892
Practice Telephone 3016686033
Mailing Telephone 3019164415
Enumeration Date 2006-09-30
Last Update Date 2008-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
04302 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD BCBS MD 60484701 01
DE RR MEDICARE S P00384922 01
MD 412389100 05
DC BCBS DC G3960046 01

Other Providers BRENDA VIDAL

NPI Name Taxonomy Address Enumeration
1467716878 Brenda Vidal Counselor 817 N Dixie Hwy, Pompano Beach, FL 33060-5621 2012-06-29

Office Location

Street Address 6441 JEFFERSON PIKE
City FREDERICK
State MD
Zip Code 21703-7039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538773403 Maryland Physical Therapy Services of Frederick, LLC Speech-Language Pathologist 6441 Jefferson Pike, Frederick, MD 21703-7039 2020-09-08
1972869410 Frederick Operating, LLC Assisted Living Facility 6441 Jefferson Pike, Frederick, MD 21703-7039 2012-04-10
1033481072 Tranquillity At Fredericktowne Assisted Living Facility 6441 Jefferson Pike, Frederick, MD 21703-7039 2012-02-07
1053614792 Shannon Carty Physical Therapy Assistant 6441 Jefferson Pike, Frederick, MD 21703-7039 2010-12-20
1972736536 Elvia Kachenchai Physical Therapy Assistant 6441 Jefferson Pike, Frederick, MD 21703-7039 2009-08-31
1437380508 Jean Louise Meissner Physical Therapist 6441 Jefferson Pike, Frederick, MD 21703-7039 2009-08-06
1003945551 Kelly R Hiltz Occupational Therapist 6441 Jefferson Pike, Frederick, MD 21703-7039 2007-03-02
1861537102 Debra K Capella Physical Therapist 6441 Jefferson Pike, Frederick, MD 21703-7039 2007-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861902959 Kenny Chen Optometrist 5283 Corporate Dr Ste 201, Frederick, MD 21703 2017-10-03
1578934550 Barbara Tarlowski Physical Therapy Assistant 347 Ballenger Center Drive, Frederick, MD 21703 2015-10-15
1679958813 Taiji Acupuncture Clinic Community Based Residential Treatment Facility, Mental Illness 1411 Bluewing Ct, Frederick, MD 21703 2015-07-29
1609283050 Green Ridge Behavioral Health, LLC Psychiatry & Neurology 5216 Chairmans Court, Suite 102, Frederick, MD 21703 2014-07-17
1841597705 Jennifer Anne Dye Speech-Language Pathologist 5312 Ballenger Creek Pike, Frederick, MD 21703 2011-02-11
1568794790 Andersons Community Healthcare Services Inc Nursing Care 4727 Verdana Loop, Frederick, MD 21703 2010-02-15
1962672782 Service Coordination Inc Case Management 5303 Spectrum Drive, Suite I, Frederick, MD 21703 2008-03-07
1396877189 Health and Happiness LLC Psychologist 93 S Mccain Drive, Frederick, MD 21703 2007-03-09
1275629776 Mary Bernadette Sheehy Nurse Practitioner Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 2006-10-04
1720185218 Rea and Derick Inc P 1835 Pharmacy 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 2006-09-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053756908 Shouh-rong Vivian Tsai Psychologist 5301 Buckeystown Pike Ste 440, Frederick, MD 21704-8319 2013-05-06
1386876811 Monica Kristine Pentony Psychologist 10142 Hansonville Rd, Frederick, MD 21702-1919 2009-08-18
1205002029 Helene G Brenner Psychologist 97 S Mccain Dr, Ste. B, Frederick, MD 21703-6055 2008-05-01
1194906180 Elise G. Abromson Psychologist 620 W Patrick St, Frederick, MD 21701-4028 2007-11-18
1316146566 Maryland Counseling Centers, Inc. Psychologist 5300 Westview Dr., Bldg. 100, Suite 104, Frederick, MD 21703-8327 2007-07-17
1710193156 Margaret Rose Bowman Psychologist 1497 Dogwood Dr, Frederick, MD 21701-4487 2007-05-15
1316163090 John Patrick Farrell Psychologist 97b S Mccain Dr, Frederick, MD 21703-6055 2007-04-18
1396877189 Health and Happiness LLC Psychologist 93 S Mccain Drive, Frederick, MD 21703 2007-03-09
1487766788 Jennifer L Carter Psychologist 97 S Mccain Dr # B, Frederick, MD 21703-6055 2006-08-31
1821025453 Kevin Michael Holloway Psychologist 2053 Cohasset Ct, Frederick, MD 21702-9502 2006-06-27
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Competitor

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City FREDERICK
Zip Code 21703

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Dataset Information

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.

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