CAROLINE H POBLETE (NPI# 1750485025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750485025 |
| Entity Type | Individual |
| Full Name | CAROLINE H POBLETE |
| Credential | M.D. |
| Practice Address |
3454 Ellicott Center Dr Suite 106 Ellicott City MD 21043-4113 |
| Practice Telephone | 4104613760 |
| Practice Fax Number | 4104610526 |
| Mailing Telephone | 4104613760 |
| Mailing Fax Number | 4104610526 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2014-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D45386 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 596105000 | 05 |
| Street Address |
3454 ELLICOTT CENTER DR SUITE 106 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225097637 | Andrew M Pataki | Obstetrics & Gynecology | 3454 Ellicott Center Dr, Suite 103, Ellicott City, MD 21043-4113 | 2006-03-23 |
| 1902250756 | Michelle Garvin | Psychologist | 3454 Ellicott Center Dr, Ellicott City, MD 21043-4113 | 2016-04-19 |
| 1902002124 | David Robert Mcduff | Psychiatry & Neurology | 3454 Ellicott Center Dr, Maryland Centers for Psychiatry-suite 106, Ellicott City, MD 21043-4113 | 2007-06-25 |
| 1689885337 | Maryland Centers for Psychiatry | Psychologist | 3454 Ellicott Center Dr, Ellicott City, MD 21043-4113 | 2007-05-24 |
| 1730308685 | Ulku Ulgur | Psychiatry & Neurology | 3454 Ellicott Center Dr, Suite 106, Ellicott City, MD 21043-4113 | 2007-04-25 |
| 1013930981 | Womens Center Ob Gyn Assoc LLC | Obstetrics & Gynecology | 3454 Ellicott Center Dr, Suite 103, Ellicott City, MD 21043-4113 | 2006-07-25 |
| 1326083163 | Gregory Christopher Fernandopulle | Psychiatry & Neurology | 3454 Ellicott Center Dr, Suite 106, Ellicott City, MD 21043 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700102340 | Chinedu O Varma | Psychiatry & Neurology | 10020 Baltimore National Pike, Box 6877, Ellicott City, MD 21042-3760 | 2010-04-07 |
| 1790824027 | David Scott Horn | Psychiatry & Neurology | 3214 Hearthstone Rd, Ellicott City, MD 21042-2406 | 2007-02-05 |
| 1346662038 | Jermany and Associates, P.a. | Psychiatry & Neurology | 3355 Saint Johns Ln, Suite F, Ellicott City, MD 21042-2605 | 2014-01-14 |
| 1730308685 | Ulku Ulgur | Psychiatry & Neurology | 3454 Ellicott Center Dr, Suite 106, Ellicott City, MD 21043-4113 | 2007-04-25 |
| 1437288784 | Agheigh Nicky Lankerani | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2007-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| 1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
Please comment or provide details below to improve the information on CAROLINE H POBLETE.
| 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.