THE INSTITUTE FOR EMOTIONAL REGULATION, LLC (NPI# 1730692278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730692278 |
| Entity Type | Organization |
| Organization Name | THE INSTITUTE FOR EMOTIONAL REGULATION, LLC |
| Practice Address |
3200 Crain Hwy Ste 205 Waldorf MD 20603-4843 |
| Mailing Address |
16140 Ginger Root Ln Brandywine MD 20613-4186 |
| Practice Telephone | 2022979992 |
| Practice Fax Number | 8009563010 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | GREGORY INGRAM (C.E.O.) |
| Authorized Official Telephone | 2022979992 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1730692278 | 05 |
| Street Address |
3200 CRAIN HWY STE 205 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790292126 | Embracing Change Counseling & Mentoring Services, Inc. | Counselor | 3200 Crain Hwy Ste 205, Waldorf, MD 20603-4843 | 2018-01-08 |
| 1235643479 | Robert L Evans IIi | Counselor | 3200 Crain Hwy Ste 205, Waldorf, MD 20603-4843 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517939 | Synergy Wellness Therapeutic Services | Clinic/Center | 3195 Old Washington Rd # 227, Waldorf, MD 20602-3201 | 2019-06-17 |
| 1609360445 | Anoetus LLC | Clinic/Center | 101 Paul Mellon Ct Ste 5, Waldorf, MD 20602-2761 | 2018-06-15 |
| 1598934630 | Melwood | Clinic/Center | 12705 Country Ln, Waldorf, MD 20601-3399 | 2008-02-22 |
| 1811001563 | Mendelis Mental Health Center | Clinic/Center | 11315 Pembrooke Square Medical Center, Suite 112, Waldorf, MD 20603 | 2006-08-19 |
| 1609490788 | Nicola Clarke Wallen LLC | Clinic/Center | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2020-06-03 |
| 1750920294 | Dynamic Counseling Group | Clinic/Center | 3195 Old Washington Rd Ste 110, Waldorf, MD 20602-3201 | 2020-01-02 |
| 1407314420 | Dillard & Associates, LLC | Clinic/Center | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2019-03-08 |
| 1033603196 | D Allen and Davis Community Counseling Center, LLC | Clinic/Center | 2670 Crain Hwy Ste 401, Waldorf, MD 20601-2818 | 2018-06-21 |
| 1609365097 | Bowen Psychological Services, LLC | Clinic/Center | 3200 Crain Hwy, Waldorf, MD 20603-4841 | 2018-05-01 |
| 1518469394 | Project Chesapeake, LLC | Clinic/Center | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2018-03-07 |
| Find all providers in WALDORF | ||||
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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.