ENVISION HEALTH AND WELLNESS (NPI# 1730787847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730787847 |
| Entity Type | Organization |
| Organization Name | ENVISION HEALTH AND WELLNESS |
| Practice Address |
2 W Rolling Xrds Ste 111 Catonsville MD 21228-6211 |
| Mailing Address |
5122 Crest Haven Way Perry Hall Md 21128 Perry Hall MD 21128 |
| Practice Telephone | 4438677471 |
| Mailing Telephone | 4438677471 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | CHRISTIE SIMON-WATERMAN (OWNER/ PROVIDER) |
| Authorized Official Telephone | 4438677471 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067066 | Envision Health and Wellness | Community/Behavioral Health | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-09-10 |
| 1336764729 | Envision Health and Wellness | Nurse Practitioner | 2 West Rolling Crossroads Ste 111, Catonsville, MD 21228 | 2020-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Envision Health and Wellness LLC | 15540 E 6th Street, Aurora, CO 80011 |
| Oregon Corporations, Companies and Business Names | ENVISION HEALTH AND WELLNESS LLC | 29720 Jeans Rd Spc 6, Veneta, OR 97487 |
| Street Address |
2 W ROLLING XRDS STE 111 |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285092734 | Continuum Wellness Center LLC. | Nurse Practitioner | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228 | 2016-01-29 |
| 1467067066 | Envision Health and Wellness | Community/Behavioral Health | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-09-10 |
| 1871136572 | Continuum Wellness Center LLC. | Health Educator | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6204 | 2019-10-25 |
| 1407358278 | Margaret Landriscina | Dietitian, Registered | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6204 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293138 | Bmoreyouthful LLC | Family Medicine | 517 Dusk View Dr, Havre De Grace, MD 21078-2369 | 2020-04-06 |
| 1497256820 | Change Treatment LLC | Family Medicine | 2926 E Cold Spring Ln Ste 3, Baltimore, MD 21214-2800 | 2018-02-21 |
| 1992226310 | Ideal Option, Pllc | Family Medicine | 265 Mill St Ste 100, Hagerstown, MD 21740-6170 | 2017-07-06 |
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| 1629114657 | Laurie J. Poss, M.d. P.a. | Family Medicine | 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 | 2007-01-29 |
| 1619054046 | Paulette Camille Hill | Family Medicine | 707 S President St Apt 1335, Baltimore, MD 21202-4497 | 2006-11-01 |
| 1891872669 | Akintoye Adelakun | Family Medicine | 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 | 2006-11-01 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1760096473 | Capricorn Health LLC | Family Medicine | 101 Chesapeake Blvd, Suite B, Elkton, MD 21921-2192 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on ENVISION HEALTH AND WELLNESS.
| 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.