MAPLE GROVE MEDICAL, INC. (NPI# 1821381427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821381427 |
| Entity Type | Organization |
| Organization Name | MAPLE GROVE MEDICAL, INC. |
| Other Organization Name | REBECCA INGRAM, MD |
| Practice Address |
316 Maple Tree Ln Spring Grove VA 23881-8515 |
| Practice Telephone | 8049550965 |
| Mailing Telephone | 8049550965 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | DR. REBECCA HARDING INGRAM (CEO, PHYSICIAN) |
| Authorized Official Telephone | 8049550965 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101242147 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rebecca Ingram, MD | Doing Business As Name - Organization |
| Street Address |
316 MAPLE TREE LN |
| City | SPRING GROVE |
| State | VA |
| Zip Code | 23881-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275861817 | Rebecca Harding Ingram | Psychiatry & Neurology | 316 Maple Tree Ln, Spring Grove, VA 23881-8515 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529193 | Josephine Daniels | Technician | 3956 Colonial Trail West, Spring Grove, VA 23881 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1104443415 | Nathalie Elliott | Specialist/Technologist | 6109 Acorn Dr, Spring Grove, PA 17362-9136 | 2020-07-02 |
| 1265052815 | Kristen M Markle | Physical Therapist | 796 Mill Rd, Spring Grove, PA 17362-9183 | 2020-04-23 |
| 1720614720 | Dana Ehardt | Occupational Therapy Assistant | 1513 N Applewood Ln, Spring Grove, IL 60081-8078 | 2020-03-21 |
| 1376175893 | Lauren Destephano | Chiropractor | 2100 N Us Highway 12 Ste 101, Spring Grove, IL 60081-8308 | 2020-02-12 |
| 1710529193 | Josephine Daniels | Technician | 3956 Colonial Trail West, Spring Grove, VA 23881 | 2019-10-17 |
| 1619531704 | Erika Zagozdon | Behavior Technician | 3715 Prairie Dr, Spring Grove, IL 60081-8360 | 2019-04-24 |
| 1417510538 | Richard Stephen Ramig | Behavior Technician | 37941 N Harold Pl, Spring Grove, IL 60081-9407 | 2019-04-15 |
| 1760948418 | Adia Joy Crawford | Social Worker | 155 Leah Ln, Spring Grove, PA 17362-8456 | 2019-02-19 |
| 1518433200 | Jessica Guinard | Nurse Practitioner | 430 N Main St Ste 4, Spring Grove, PA 17362-1123 | 2018-10-19 |
| Find all providers in SPRING GROVE | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1134727522 | Assessment & Counseling of Williamsburg Plc | Psychiatry & Neurology | 113 Rudder Ct, Williamsburg, VA 23185-5288 | 2020-10-16 |
| 1407460413 | Demetrous Johnston | Psychiatry & Neurology | 2 Eaton St # 909, Hampton, VA 23669-4054 | 2020-09-07 |
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1538770623 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 4215 Lorcom Ln, Arlington, VA 22207-3305 | 2020-08-12 |
| 1588274435 | Holisticare Behavioral Health Svs LLC | Psychiatry & Neurology | 8101 Hinson Farm Rd Ste 214, Alexandria, VA 22306-3406 | 2020-08-05 |
| 1881202729 | Bagla LLC | Psychiatry & Neurology | 2103 Electric Rd Ste A, Roanoke, VA 24018-2303 | 2020-07-16 |
| 1548886393 | Sandhya Rajasekhara | Psychiatry & Neurology | 3057 George Washington Memorial Hwy, Hayes, VA 23072-3300 | 2020-06-17 |
| 1083237747 | Fresh Focus Psychiatric Services Pllc | Psychiatry & Neurology | 825 Davis St Ste D, Blacksburg, VA 24060-7009 | 2020-05-28 |
| 1629698766 | Forefront Telecare Medical Services PC | Psychiatry & Neurology | 728 Hillmont Cir Apt 201, Harrisonburg, VA 22801-2457 | 2020-04-18 |
| 1528693769 | Free Range Psychiatry Inc | Psychiatry & Neurology | 296 Forest Hills Dr, Luray, VA 22835-9106 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRING GROVE |
| Zip Code | 23881 |
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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.