NEUROSCIENCE ASSOCIATES OF BOWIE (NPI# 1821532813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821532813 |
| Entity Type | Organization |
| Organization Name | NEUROSCIENCE ASSOCIATES OF BOWIE |
| Other Organization Name | NEUSAB |
| Practice Address |
14300 Gallant Fox Ln 107 Bowie MD 20715-4003 |
| Mailing Address |
12416 Skylark Ln Bowie MD 20715-2121 |
| Practice Telephone | 3018523479 |
| Mailing Telephone | 3018523479 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | DR. PATRICIA NICOLE HUDSON-HENRY (OWNER) |
| Authorized Official Telephone | 3018523479 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Neusab | Other Name - Individual/Organization |
| Street Address |
14300 GALLANT FOX LN 107 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154322659 | Theodore W Taber | Chiropractor | 14300 Gallant Fox Ln, Suite 201, Bowie, MD 20715-4003 | 2005-08-09 |
| 1598318545 | Bonita Mannings | Counselor | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2019-07-18 |
| 1740796945 | Tierra Shanel Thomas | Nurse Practitioner | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2017-12-26 |
| 1285082644 | Trinity Dental Care, LLC | Dentist | 14300 Gallant Fox Ln, Suite 111, Bowie, MD 20715-4003 | 2016-05-26 |
| 1285094094 | Love Kids LLC | Pediatrics | 14300 Gallant Fox Ln, 203, Bowie, MD 20715-4003 | 2016-03-07 |
| 1417322926 | Shannon Nicole Martin | Nurse Practitioner | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2015-12-09 |
| 1134598394 | Phs Multispecialty Services | Surgery | 14300 Gallant Fox Ln, Suite 224, Bowie, MD 20715-4003 | 2015-09-17 |
| 1780078436 | Utopia Health Services Group Inc. | Counselor | 14300 Gallant Fox Ln, Suite 213, Bowie, MD 20715-4003 | 2015-03-19 |
| 1083018832 | Marsha Ross | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2014-10-22 |
| 1215366752 | Healing Children and Families, Inc. | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2013-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711857 | William S. Garmoe | Clinical Neuropsychologist | 14300 Gallant Fox Ln, Suite 204, Bowie, MD 20715-4003 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004832 | Kehinde Bolajoko Abioye | Clinical Neuropsychologist | 10420 Little Patuxent Pkwy Ste 250, Columbia, MD 21044-3638 | 2020-05-12 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1790207967 | Allison Morgan Hecht | Clinical Neuropsychologist | 101 E Chesapeake Ave Ste 202, Towson, MD 21286-5362 | 2017-07-10 |
| 1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
| 1467804393 | Emma Cole | Clinical Neuropsychologist | 7621 Warbler Ln, Derwood, MD 20855-1031 | 2016-07-03 |
| 1184071375 | Shawn Shanee Nelson Schmitt | Clinical Neuropsychologist | 8555 16th St Ste 310, Summit Building, Silver Spring, MD 20910-2802 | 2016-05-18 |
| 1528421625 | Ellen Iscoe | Clinical Neuropsychologist | 3907 Livingston St, Hyattsville, MD 20781-1740 | 2016-04-05 |
| 1174930515 | Alyssa Levisohn | Clinical Neuropsychologist | 714 Kersey Rd, Silver Spring, MD 20902-3061 | 2014-07-17 |
| 1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
| 1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
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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.