CHILDREN'S MEDICAL GROUP, P.A. (NPI# 1669086880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669086880 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MEDICAL GROUP, P.A. |
| Practice Address |
500 Greene St Cumberland MD 21502-2799 |
| Mailing Address |
500 Greene St Cumberland MD 21502-2755 |
| Practice Telephone | 3017247616 |
| Practice Fax Number | 3017244811 |
| Mailing Telephone | 3017247616 |
| Mailing Fax Number | 3017244811 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | CHERIE L WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 3017247616 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S MEDICAL GROUP, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 910551400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588700603 | Children's Medical Group, P.a. | Pediatrics | 1867 Crane Ridge Dr Ste 101b, Jackson, MS 39216-4956 | 2007-01-29 |
| 1528165750 | Children's Medical Group, P.a. | Specialist | 500 Greene St, Cumberland, MD 21502-2755 | 2006-09-20 |
| 1689639312 | Children's Medical Group, P.a. | Specialist | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2006-04-18 |
| Street Address |
500 GREENE ST |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010436 | Susan M Nuber | Pediatrics | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-15 |
| 1568987840 | Nikkole Amanda Reams | Nurse Practitioner | 500 Greene St, Cumberland, MD 21502-2755 | 2017-08-08 |
| 1528165750 | Children's Medical Group, P.a. | Specialist | 500 Greene St, Cumberland, MD 21502-2755 | 2006-09-20 |
| 1184616062 | Byron A Haworth | Pediatrics | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-17 |
| 1124010004 | Jacquelyn P Bauer | Nurse Practitioner | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-17 |
| 1275525164 | Randall A Stroup | Physician Assistant | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-17 |
| 1851383749 | Kandy Fink Levasseur | Nurse Practitioner | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-17 |
| 1437151867 | Robert J Dawson | Pediatrics | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-15 |
| 1043212459 | Michael Levitas | Pediatrics | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-15 |
| 1750383162 | Debra B Hurtt | Pediatrics | 500 Greene St, Cumberland, MD 21502-2755 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407065360 | Janis Carol Mallon | Psychologist | 26 Edes Rd, Cumberland, ME 04021-4101 | 2007-05-21 |
| 1881809051 | James Kennedy Holwager | Psychologist | 49 Greene St, Cumberland, MD 21502-2926 | 2007-05-11 |
| 1275563405 | David Winston Ingle | Psychologist | 2190 Mendon Rd, Suite 3, Cumberland, RI 02864-3805 | 2006-07-04 |
| 1871584961 | Guy M Boulay | Psychologist | 3353 Mendon Rd, Cumberland, RI 02864-2122 | 2005-10-29 |
| 1417412909 | Matthew J Yates | Psychologist | 200 Glenn St, Cumberland, MD 21502-2573 | 2019-02-08 |
| 1780816926 | Michael Motter | Psychologist | 10102 Country Club Rd, Cumberland, MD 21502 | 2009-08-21 |
| 1982859997 | Blackstone Valley Family Therapy, Ltd. | Psychologist | 2190 Mendon Rd, Suite 3, Cumberland, RI 02864-3805 | 2008-11-19 |
| 1780866707 | Barreto & Schwartz Psychology Associates PC Inc | Psychologist | 1464 Diamond Hill Rd, Cumberland, RI 02864-5540 | 2007-11-30 |
| 1447356605 | James E Orth | Psychologist | 925 Bishop Walsh Road, Suite 3, Cumberland, MD 21502 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497029 | Myles Schaultz | Psychologist | 202 Easton S Apt 101, Laurel, MD 20724-2131 | 2020-11-04 |
| 1609475979 | The Green Garden, LLC | Psychologist | 10635 York Rd Fl 2, Cockeysville, MD 21030-2357 | 2020-10-19 |
| 1225636830 | Samantha Reaves | Psychologist | 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815-5846 | 2020-10-15 |
| 1730786039 | Lisa Anne Joseph | Psychologist | 114 Lynnmoor Dr, Silver Spring, MD 20901-1515 | 2020-10-08 |
| 1619574365 | Brittany Pereira | Psychologist | 15744 Crabbs Branch Way, Derwood, MD 20855-2686 | 2020-10-06 |
| 1720695588 | Lisa Marie Moscatiello | Psychologist | 6618 Cockerille Ave, Takoma Park, MD 20912-4732 | 2020-09-25 |
| 1508473638 | Elisa D'olivier Ndombele -sisler | Psychologist | 3225 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-09-23 |
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1265044754 | Green Hill Psychotherapy | Psychologist | 112 Greenhill Rd, Greenbelt, MD 20770-1662 | 2020-08-18 |
| 1982214326 | Catherine Louise Ford | Psychologist | 3601 Nicholson St, Hyattsville, MD 20782-3234 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on CHILDREN'S MEDICAL GROUP, P.A..
| 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.