MICHELE JACQUELINE WALKLETT (NPI# 1720235294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720235294 |
| Entity Type | Individual |
| Full Name | MICHELE JACQUELINE WALKLETT |
| Credential | PSYD |
| Practice Address |
510 Mccormick Dr Ste U-w Glen Burnie MD 21061-3283 |
| Practice Telephone | 4105955870 |
| Mailing Telephone | 4105955870 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
03849 | MD | Behavioral Health & Social Service Providers |
| Street Address |
510 MCCORMICK DR STE U-W |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884022 | Casie Jahnigen | Behavioral Analyst | 510 Mccormick Dr Ste U-w, Glen Burnie, MD 21061-3283 | 2019-07-30 |
| 1346714037 | Dale Urbanowicz | Behavioral Analyst | 510 Mccormick Dr Ste U-w, Glen Burnie, MD 21061-3283 | 2019-01-15 |
| 1235613274 | Kelly Rose Olsen | Behavioral Analyst | 510 Mccormick Dr Ste U-w, Glen Burnie, MD 21061-3283 | 2018-09-15 |
| 1790270304 | Devin Blackwell | Behavior Technician | 510 Mccormick Dr Ste U-w, Glen Burnie, MD 21061-3283 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769561 | Breakthrough Therapeutic Concepts, LLC. | Psychologist | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 | 2020-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998829 | Anna Elizabeth Pozzatti | Psychologist | 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 | 2020-09-23 |
| 1356969802 | Together We Rise LLC | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-10 |
| 1033772272 | Stephanie Judd | Psychologist | 3901 Rosemary St, Chevy Chase, MD 20815-5223 | 2019-04-14 |
| 1942794870 | Annie Rabinovitch | Psychologist | 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 | 2018-06-14 |
| 1972094167 | Bk Behavioral Health Center | Psychologist | 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 | 2018-05-23 |
| 1477938215 | Deborah A Odonnell, Phd, Clinical Psychologist, LLC | Psychologist | 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887 | 2015-07-22 |
| 1336535319 | Roderick Irving Wellington | Psychologist | 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 | 2015-04-07 |
| 1225438344 | Marjorie Katherine Mccalla | Psychologist | 720 Aliceanna St, Baltimore, MD 21202-4387 | 2014-08-26 |
| 1992122923 | Kendel Wylie-pugh | Psychologist | 4309 Travancore Ct, Randallstown, MD 21133-1315 | 2014-03-27 |
| 1861816688 | Valerie Gordon Slattery | Psychologist | 10205 Windsor View Dr, Potomac, MD 20854-4020 | 2014-02-13 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.