DESICARE LLC (NPI# 1801402656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801402656 |
| Entity Type | Organization |
| Organization Name | DESICARE LLC |
| Practice Address |
7712 West Shore Road Pasadena MD 21122-1519 |
| Mailing Address |
4157 Mountain Road 160 Pasadena MD 21122 |
| Practice Telephone | 4702630801 |
| Mailing Telephone | 4702630801 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | CHERYL MICHELE JONES (PRESIDENT/CEO) |
| Authorized Official Telephone | 4702630801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Desicare LLC | Other Name - Individual/Organization |
| Street Address |
7712 WEST SHORE ROAD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180739 | Yunlay Bridges | Registered Nurse | 7712 West Shore Road, Pasadena, MD 21122-2112 | 2020-10-02 |
| 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 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 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 |
| Find all providers in zip 21122 | ||||
| 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 |
|---|---|---|---|---|
| 1477023265 | Hillsides | Clinic/Center | 456 E. Orange Grove Blvd, Suite 140, Pasadena, CA 91104-5235 | 2018-12-05 |
| 1538431168 | Waypoint Marriage Therapy Center Professional Corporation | Clinic/Center | 595 E Colorado Blvd Ste 9, Pasadena, CA 91101-2039 | 2012-01-27 |
| 1336275056 | Foothill Family Service - Hudson | Clinic/Center | 111 S Hudson Ave, Pasadena, CA 91101-2606 | 2007-02-26 |
| 1316073620 | Foothill Family Service | Clinic/Center | 897 Granite Dr, Pasadena, CA 91101-3501 | 2007-02-23 |
| 1487668737 | Los Angeles County Department of Mental Health | Clinic/Center | 220 S Raymond Ave, Suite 101, Pasadena, CA 91105-4109 | 2006-07-29 |
| 1356355697 | Los Angeles County Department of Mental Health | Clinic/Center | 532 E Colorado Blvd Fl 8, Pasadena, CA 91101-2044 | 2006-07-29 |
| 1023625738 | Acro Consultancy Services A Psychological Corporation | Clinic/Center | 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107-7122 | 2020-09-26 |
| 1437765807 | Bay Region Counseling LLC | Clinic/Center | 8000 Jumpers Hole Rd Ste 200, Pasadena, MD 21122-1046 | 2020-09-21 |
| 1548870728 | Dr. Supatra Tovar & Associates, A Psychological Corporation | Clinic/Center | 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 | 2020-08-03 |
| 1275166472 | Psychological Health and Wellness Inc | Clinic/Center | 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 | 2020-02-16 |
| 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.