ACHIEVING TRUE SELF (NPI# 1720623770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720623770 |
| Entity Type | Organization |
| Organization Name | ACHIEVING TRUE SELF |
| Practice Address |
5100 Buckeystown Pike Ste 250 Frederick MD 21704-8344 |
| Mailing Address |
8865 Norwin Ave Ste 27 North Huntingdon PA 15642-2769 |
| Practice Telephone | 8662872036 |
| Practice Fax Number | 8882441718 |
| Mailing Telephone | 8662872036 |
| Mailing Fax Number | 8882441718 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | KIMBERLY MOTOSICKY (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 8662872036 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACHIEVING TRUE SELF |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5100 BUCKEYSTOWN PIKE STE 250 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-8344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114949708 | Sanjeev Kumar Singhal | Psychiatry & Neurology | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2006-07-24 |
| 1861009508 | Affinity Systems Inc | Durable Medical Equipment & Medical Supplies | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2020-09-27 |
| 1104434281 | Keeley Psychiatry LLC | Clinic/Center | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2020-07-15 |
| 1326696840 | Shiloh Healthcare LLC | Home Health | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2019-08-28 |
| 1578118865 | Amber Groomes, Ph.d., LLC | Psychologist | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577170 | Connie Wesley Lcmft LLC | Community/Behavioral Health | 111 Holling Dr, Frederick, MD 21701-5051 | 2020-08-07 |
| 1609495381 | Kema Health Services | Community/Behavioral Health | 2083 Buell Dr, Frederick, MD 21702-3284 | 2020-04-13 |
| 1780215293 | Andrew Campbell Counseling, LLC | Community/Behavioral Health | 1 W Church St Ste 3, Frederick, MD 21701-5992 | 2020-02-03 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1861917395 | Child Quest LLC | Community/Behavioral Health | 5716 Industry Ln Ste G, Frederick, MD 21704-5201 | 2017-08-05 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1467983171 | Aaron Todd Heaton Psychologist | Community/Behavioral Health | 365 W Patrick St, Suite 205, Frederick, MD 21701-4854 | 2017-03-23 |
| 1609326842 | Family Support Services | Community/Behavioral Health | 300 W. Patrick St, Frederick, MD 21701-4914 | 2016-10-12 |
| 1245603802 | Way Station, Inc. | Community/Behavioral Health | 10304 Putman Rd, Frederick, MD 21702-1838 | 2015-11-04 |
| 1487082293 | Btst Services LLC | Community/Behavioral Health | 7190 Crestwood Blvd Ste 400, Frederick, MD 21703-7318 | 2013-10-15 |
| Find all providers in FREDERICK | ||||
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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.