WISEMINDS CENTER FOR INTEGRATIVE TELEPSYCHIATRY (NPI# 1851903454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851903454 |
| Entity Type | Organization |
| Organization Name | WISEMINDS CENTER FOR INTEGRATIVE TELEPSYCHIATRY |
| Practice Address |
4701 Sangamore Rd Ste N100 Bethesda MD 20816-2558 |
| Practice Telephone | 8006823548 |
| Mailing Telephone | 8006823548 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | MONE'T INCE-AMARA (PROVIDER/OWNER) |
| Authorized Official Telephone | 8006823548 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6171 Executive Blvd Fl 2, Rockville, MD 208523901 | 8006823548 |
| Street Address |
4701 SANGAMORE RD STE N100 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145468 | Francine Mefeussom Kamhoua | Nurse Practitioner | 4401 E West Hwy # 504, Bethesda, MD 20814-4523 | 2020-08-19 |
| 1801413448 | Stephine Oparaugo | Nurse Practitioner | 4901 Battery Ln Apt 3, Bethesda, MD 20814-4902 | 2020-06-30 |
| 1295208593 | Mindview Behavioral Health and Wellness | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-01-09 |
| 1679967889 | Sasha Tova Bergeron | Nurse Practitioner | 8030 Woodmont Ave Fl 3, Bethesda, MD 20814-3027 | 2015-03-25 |
| 1760726525 | Jae Hoon Kim | Nurse Practitioner | 7201 Wisconsin Ave Ste 450, Bethesda, MD 20814-4835 | 2012-11-19 |
| 1093025462 | Chana Rose Engel | Nurse Practitioner | 9000 Rockville Pike Nih Nimh, Bldg 10, Rm 1-3633, Bethesda, MD 20892-0001 | 2010-10-19 |
| 1518953371 | Betsy Brach | Nurse Practitioner | 8313 Fenway Rd, Bethesda, MD 20817-2734 | 2005-09-26 |
| 1033722962 | Francis Aneke | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2020-08-29 |
| 1114562246 | Ebonique Katress Mcclinnahan | Nurse Practitioner | 8901 Wisconsin Ave, Bethesda, MD 20889-4701 | 2019-11-13 |
| 1689217143 | Dr. Joanne Psychiatry LLC | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-10-28 |
| Find all providers in BETHESDA | ||||
Please comment or provide details below to improve the information on WISEMINDS CENTER FOR INTEGRATIVE TELEPSYCHIATRY.
| 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.