PDG REHABILITATION SERVICES, INC. (NPI# 1851762900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851762900 |
| Entity Type | Organization |
| Organization Name | PDG REHABILITATION SERVICES, INC. |
| Practice Address |
1401 Severn St Baltimore MD 21230-1740 |
| Practice Telephone | 4437080230 |
| Practice Fax Number | 4108637205 |
| Mailing Telephone | 4437080230 |
| Mailing Fax Number | 4108637205 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Authorized Official Name | MS. SONDRA E. TRANEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4108637213 |
| Authorized Official Credential | M.S., N.C.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4851 | MD | Agencies |
| Street Address |
1401 SEVERN ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255461125 | Jodi Lynn Dively | Social Worker | 1401 Severn St, Suite 201, Baltimore, MD 21230-1740 | 2007-03-07 |
| 1720431463 | Partnership Development Group | Counselor | 1401 Severn St, Ste 201, Baltimore, MD 21230-1740 | 2016-07-18 |
| 1609274265 | Partnership Development Group | Community/Behavioral Health | 1401 Severn St, Baltimore, MD 21230-1740 | 2014-12-15 |
| 1841600152 | Partnership Development Group, Inc. | Case Management | 1401 Severn St, Suite 201, Baltimore, MD 21230-1740 | 2014-05-08 |
| 1053666511 | Alice Lee | Social Worker | 1401 Severn St, Baltimore, MD 21230-1740 | 2012-07-19 |
| 1336494194 | Kim Gresham | Social Worker | 1401 Severn St, Ste 201, Baltimore, MD 21230-1740 | 2012-07-18 |
| 1720333560 | Mary L Busker | Social Worker | 1401 Severn St, Baltimore, MD 21230-1740 | 2012-07-18 |
| 1508111758 | Wendy Ellingson | Social Worker | 1401 Severn St, Suite 201, Baltimore, MD 21230-1740 | 2012-07-13 |
| 1861747032 | Mary Crocker | Social Worker | 1401 Severn St, Baltimore, MD 21230-1740 | 2012-07-13 |
| 1396026001 | Taylor J Rogers | Social Worker | 1401 Severn St, Suite 201, Baltimore, MD 21230-1740 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1366056855 | The Wel Foundation, LLC. | Community/Behavioral Health | 5858 Belair Rd, Baltimore, MD 21206-2661 | 2020-09-02 |
| 1679185177 | Center for Youth and Families Inc | Community/Behavioral Health | 6304 Elinore Ave, Baltimore, MD 21206-1721 | 2020-08-18 |
| 1457977100 | Apex Wellness Group, LLC | Community/Behavioral Health | 118 E 25th St Unit 2, Baltimore, MD 21218-5281 | 2020-06-18 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1669093829 | Upcoming Enterprize Corporation | Community/Behavioral Health | 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 | 2020-04-29 |
| 1922629344 | Providing Empowerment Advocacy & Social Skills | Community/Behavioral Health | 2361 Flax Ter, Baltimore, MD 21209-4625 | 2020-04-27 |
| 1801415153 | New Life Family Services LLC | Community/Behavioral Health | 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 | 2020-04-15 |
| Find all providers in BALTIMORE | ||||
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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.