DR. MARY PASQUELLA (NPI# 1821150525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821150525 |
| Entity Type | Individual |
| Full Name | DR. MARY PASQUELLA |
| Credential | PH.D. |
| Practice Address |
12661 Heming Ln Bowie MD 20716-1118 |
| Practice Telephone | 3012625758 |
| Practice Fax Number | 3013523939 |
| Mailing Telephone | 3012625758 |
| Mailing Fax Number | 3013523939 |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2011-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
02354 | MD | Behavioral Health & Social Service Providers |
| Street Address |
12661 HEMING LN |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972022929 | Kimberly M Brooks, Phd, Inc. | Psychologist | 3231 Superior Ln Ste A6, Bowie, MD 20715-1939 | 2017-09-11 |
| 1497125512 | Safe Harbor Christian Counseling | Psychologist | 15012 Narrows Ln, Bowie, MD 20716-1202 | 2015-10-01 |
| 1679943799 | Safe Harbor Christian Counseling | Psychologist | 15406 Jennings Ln, Bowie, MD 20721-7211 | 2015-10-01 |
| 1801218193 | Denise Daniels | Psychologist | 9700 Glenkirk Way, Bowie, MD 20721-2996 | 2014-01-06 |
| 1598109845 | Sheri Ann Wilson | Psychologist | 102 Jennings Mill Dr, Bowie, MD 20721-7260 | 2013-04-17 |
| 1528213287 | Cyndie Marie Buckson | Psychologist | 5200 Roberts Prospect Dr, Bowie, MD 20720-3378 | 2008-11-22 |
| 1932361391 | Renita Cherise Gabriel | Psychologist | 3060 Mitchellville Rd Ste 106, Bowie, MD 20716-1389 | 2008-06-27 |
| 1972635860 | Vallayil G Kurian | Psychologist | 16010 Annapolis Rd, Bowie, MD 20715 | 2007-03-09 |
| 1457409765 | Richard R Bebout | Psychologist | 12621 Kavanaugh Ln, Bowie, MD 20715-2816 | 2007-01-05 |
| 1225078710 | Lynette L Malloch | Psychologist | 14300 Gallant Fox Ln Ste 107, Bowie, MD 20715-4031 | 2006-06-07 |
| Find all providers in BOWIE | ||||
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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.