EMERALD HEALTH CENTER, INC (NPI# 1730143991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730143991 |
| Entity Type | Organization |
| Organization Name | EMERALD HEALTH CENTER, INC |
| Practice Address |
217 Main St Reisterstown MD 21136-1213 |
| Practice Telephone | 4108330580 |
| Practice Fax Number | 4108338604 |
| Mailing Telephone | 4108330580 |
| Mailing Fax Number | 4108338604 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MS. LUZ J. E. CORREA-CASHDOLLAR (PRACTICE MANAGER) |
| Authorized Official Telephone | 4108330580 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
D0020136 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/BS | KA78EM | 01 |
| MD | MC GROUP NUMBER | 247L | 01 |
| Street Address |
217 MAIN ST |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437118742 | Chesapeake Behavioral Health Center, LLC | Psychiatry & Neurology | 217 Main St, Suite B, Reisterstown, MD 21136-1213 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512543 | Michael Brody | Psychologist | 10412 Crossing Creek Rd, Potomac, MD 20854-4201 | 2008-06-20 |
| 1982811709 | Jane E Jackson | Psychologist | 3512 Sandy Ct, Kensington, MD 20895-1420 | 2007-05-17 |
| 1811509805 | United Counseling and Support Services | Psychologist | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1134656747 | Dennis Gates, Mental Health LLC | Psychologist | 9500 Arena Dr, Suite 432, Largo, MD 20774-3701 | 2017-05-12 |
| 1063809549 | Chesapeake Psychological Services | Psychologist | 8607 Cedar St, Silver Spring, MD 20910-4324 | 2015-04-22 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1174961700 | The Robert Sylvia Group | Psychologist | 1800 N Charles St, Suite 206, Baltimore, MD 21201-5920 | 2013-06-05 |
| 1518117761 | Carroll Counseling Center, LLC | Psychologist | 1380 Progress Way, Suite 101, Eldersburg, MD 21784-6464 | 2008-09-24 |
| 1780853325 | Shore Psychiatric Associates, LLC | Psychologist | 8221 Teal Dr, Suite 406, Easton, MD 21601-7227 | 2008-02-28 |
| 1467663989 | Mark Weist | Psychologist | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.