MR. BARRETT ARTHUR TOLLENGER (NPI# 1730649922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730649922 |
| Entity Type | Individual |
| Full Name | MR. BARRETT ARTHUR TOLLENGER |
| Credential | ADT |
| Practice Address |
2825 Mountain Road Suite 204 Pasadena MD 21122 |
| Practice Telephone | 4435483733 |
| Mailing Telephone | 4435483733 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ADT1906 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1851838643 | 05 |
| Street Address |
2825 MOUNTAIN ROAD SUITE 204 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538629720 | Patricia Marie Tyler | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1558821892 | Marjorie Celeste Waller | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122-0427 | 2019-03-22 |
| 1184184426 | Christopher Joel Walker | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122-2112 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| 1508277591 | Kellie Tysor | Occupational Therapist | 334 Bar Harbor Road, Pasadena, MD 21122 | 2014-05-13 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975593 | Robbie Davis | Counselor | 1710 Strawberry Rd Ste 300, Pasadena, TX 77502-2649 | 2020-02-26 |
| 1689144271 | Cathy Haigis | Counselor | 2528 Mountain Rd.7204, Pasadena, MD 21122-7204 | 2018-11-27 |
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1013415215 | Dedicato Treatment Center Inc | Counselor | 133 N Altadena Dr Ste 430, Pasadena, CA 91107-7344 | 2018-01-23 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922528769 | Calvin Hayes | Counselor | 135 W Washington Blvd, Pasadena, CA 91103-2563 | 2017-06-22 |
| 1518406545 | Kevin Cross | Counselor | 25 El Nido Ave Apt 5, Pasadena, CA 91107-4448 | 2017-02-23 |
| 1306385133 | Alan Ray Brown | Counselor | 225 Grandview St, Pasadena, CA 91104-2114 | 2017-02-13 |
| Find all providers in PASADENA | ||||
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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.