LEAD4LIFE, INC. (NPI# 1659850360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659850360 |
| Entity Type | Organization |
| Organization Name | LEAD4LIFE, INC. |
| Practice Address |
15825 Shady Grove Rd Ste 35 Rockville MD 20850-4033 |
| Practice Telephone | 3016724319 |
| Mailing Telephone | 2404998949 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | JENNIFER M GAUTHIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3016724319 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 201507200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 N Division St Ste 204, Salisbury, MD 218014302 | 3016724319 | |
| 329 S Jefferson St, Frederick, MD 217016206 | 3016724319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423359 | Lead4life, Inc. | Community/Behavioral Health | 145 W Ostend St Fl 6, Baltimore, MD 21230-3764 | 2019-08-19 |
| 1043745136 | Lead4life, Inc. | Counselor | 225 N Division St, Salisbury, MD 21801-4203 | 2017-04-26 |
| 1326695073 | Lead4life, Inc. | Community/Behavioral Health | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-19 |
| 1477092393 | Lead4life, Inc. | Social Worker | 2096 Gaither Rd Ste 110, Rockville, MD 20850-4027 | 2017-02-13 |
| 1518331610 | Lead4life, Inc. | Voluntary or Charitable | 2096 Gaither Rd Ste 110, Rockville, MD 20850-4027 | 2015-11-30 |
| Street Address |
15825 SHADY GROVE RD STE 35 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114443884 | Elizabeth Hadzic | Counselor | 15825 Shady Grove Rd Ste 35, Rockville, MD 20850-4033 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730695834 | Focus Rockville Psychiatric Service | Psychiatry & Neurology | 9010 Scott Dr, Rockville, MD 20850-3400 | 2017-12-27 |
| 1780039636 | Tarik Ksaibati | Psychiatry & Neurology | 9901 Medical Center Dr Rm 3154, Rockville, MD 20850-3357 | 2016-04-28 |
| 1922341197 | Elizabeth Rosner | Psychiatry & Neurology | 9901 Medical Center Dr Dept Of, Rockville, MD 20850-3357 | 2013-04-05 |
| 1851644009 | Pamela Feeley Md LLC | Psychiatry & Neurology | 14816 Physicians Ln Ste 252, Rockville, MD 20850-3967 | 2012-10-24 |
| 1720330566 | Marc Samuel Sageman | Psychiatry & Neurology | 507 Grand Champion Dr, Rockville, MD 20850-5791 | 2012-10-03 |
| 1952652935 | Catherine Ostell | Psychiatry & Neurology | 128 Calvert Rd, Rockville, MD 20850-3812 | 2012-10-01 |
| 1467711606 | Robert Innis | Psychiatry & Neurology | 13016 Mimosa Farm Ct, Rockville, MD 20850-3700 | 2012-05-09 |
| 1811263007 | Rivka Rivi Ben Dor | Psychiatry & Neurology | 14915 Broschart Rd Ste 2200, Rockville, MD 20850-3350 | 2012-04-01 |
| 1467747626 | Paul David Barnes | Psychiatry & Neurology | 11805 Magruder Ln, Rockville, MD 20852-4369 | 2011-06-16 |
| 1184927212 | Thomas Peter Laughren | Psychiatry & Neurology | 4709 Kemper St, Rockville, MD 20853-2916 | 2010-12-12 |
| Find all providers in ROCKVILLE | ||||
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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.