CREATIVE MIND THERAPY (NPI# 1730790221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730790221 |
| Entity Type | Organization |
| Organization Name | CREATIVE MIND THERAPY |
| Practice Address |
12419 Dorsey Ln Upper Marlboro MD 20772 |
| Practice Telephone | 2405969735 |
| Mailing Telephone | 2405969735 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | MARIAMA K DEEN (CEO) |
| Authorized Official Telephone | 2405969735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
12419 DORSEY LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| 1316474398 | Kimberly Renett Burton | Social Worker | 14626 Main St Ste 202, Upper Marlboro, MD 20772 | 2017-05-22 |
| Find all providers in zip 20772 | ||||
| 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 |
|---|---|---|---|---|
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1740827070 | Pathways, Inc. | Community/Behavioral Health | 6427 Crain Hwy, Upper Marlboro, MD 20772-4139 | 2019-12-05 |
| 1629612585 | Pathways, Inc | Community/Behavioral Health | 6427 Sw Crain Hwy, Upper Marlboro, MD 20772-4139 | 2019-11-04 |
| 1437711751 | Orchard Community Services LLC | Community/Behavioral Health | 2605 Beech Orchard Ln, Upper Marlboro, MD 20774-8851 | 2019-07-08 |
| 1134642622 | Green Circles LLC | Community/Behavioral Health | 4609 Penzance Pl, Upper Marlboro, MD 20772-6923 | 2017-07-17 |
| 1659817898 | Master Services, Inc. | Community/Behavioral Health | 7307 Gambier Dr, Upper Marlboro, MD 20772-4492 | 2017-01-11 |
| 1649729336 | Pathways Inc | Community/Behavioral Health | 14336 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2016-09-23 |
| 1699144402 | Willie Simmons | Community/Behavioral Health | 12500 Clearwater Way, Upper Marlboro, MD 20772-6600 | 2015-09-22 |
| 1255753646 | Transformation Counseling Services, LLC | Community/Behavioral Health | 4634 Colonel Fenwick Pl, Upper Marlboro, MD 20772-5940 | 2014-01-20 |
| 1508296385 | Newlen Educational Services | Community/Behavioral Health | 9404 Shield Dr, Upper Marlboro, MD 20772-4335 | 2013-11-15 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
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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.