ADVANTIA MENTAL WELLNESS LLC (NPI# 1720564594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720564594 |
| Entity Type | Organization |
| Organization Name | ADVANTIA MENTAL WELLNESS LLC |
| Practice Address |
1400 Forest Glen Rd Ste 500 Silver Spring MD 20910-1467 |
| Mailing Address |
1525 Wilson Blvd Ste 540 Arlington VA 22209-2444 |
| Practice Telephone | 3012736611 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | PETER GLASS (CMO) |
| Authorized Official Telephone | 6314966120 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1400 FOREST GLEN RD STE 500 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871704171 | Donna Mazloomdoost | Obstetrics & Gynecology | 1400 Forest Glen Rd Ste 500, Silver Spring, MD 20910-1467 | 2007-05-25 |
| 1609286848 | Lisa Kirsten Ely | Obstetrics & Gynecology | 1400 Forest Glen Rd Ste 500, Silver Spring, MD 20910 | 2014-04-28 |
| 1568806230 | Meredith Dobbs Kapner | Obstetrics & Gynecology | 1400 Forest Glen Rd Ste 500, Silver Spring, MD 20910-1467 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1699386789 | Elite Multi Specialty Clinic, LLC | Clinic/Center | 12501 Prosperity Dr Ste 330, Silver Spring, MD 20904-1655 | 2020-08-12 |
| 1174995781 | Cornerstone Montgomery, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-10-22 |
| 1508255050 | Thomas Rea Psychotherapy LLC | Clinic/Center | 8701 Georgia Ave, Suite 511, Silver Spring, MD 20910-3713 | 2015-01-21 |
| 1235404054 | Murray & Daken Clinical Associates, LLC | Clinic/Center | 8455 Colesville Rd, Suite 1025, Silver Spring, MD 20910-3315 | 2012-03-12 |
| 1316090673 | Alvord Baker & Associates LLC | Clinic/Center | 11161 New Hampshire Ave, Suite 307, Silver Spring, MD 20904-2606 | 2007-01-19 |
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| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1811519564 | Womens Healing Center LLC | Clinic/Center | 8167 Main St Ste 206, Ellicott City, MD 21043-4776 | 2020-05-15 |
| 1942821004 | Western Maryland Psychology LLC | Clinic/Center | 14407 Marsh Pike, Hagerstown, MD 21742-1647 | 2020-04-29 |
| 1295355352 | Bright Care Solutions LLC | Clinic/Center | 8702 Castlerock Ct, Laurel, MD 20723-2702 | 2020-04-19 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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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.