MOSAIC COMMUNITY SERVICES, INC. (NPI# 1861844706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861844706 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES, INC. |
| Practice Address |
1040 Hardees Dr Ste F Aberdeen MD 21001 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4102731399 |
| Practice Fax Number | 4102732085 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4436121436 |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | SUE KESSLER (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 4104539553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
BH001026 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MDH BHA LICENSE | BH001026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760731574 | Mosaic Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10311 Malcolm Cir, Apt. B, Cockeysville, MD 21030-3937 | 2012-09-07 |
| 1255886156 | Mosaic Community Services, Inc. | Case Management | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-08-20 |
| 1417402314 | Mosaic Community Services, Inc. | Case Management | 15 S Parke St, Suite 400, Aberdeen, MD 21001-4515 | 2016-08-20 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1629522248 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-08-11 |
| 1114370053 | Mosaic Community Services, Inc. | Case Management | 8003 Corporate Dr, Nottingham, MD 21236-4984 | 2016-07-15 |
| 1629420583 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1245682129 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1588016422 | Mosaic Community Services, Inc. | Clinic/Center | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC COMMUNITY SERVICES, INC. | 2010 Groton Rd, Pocomoke City, MD 21851-2802 |
| Street Address |
1040 HARDEES DR STE F |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043656218 | Kristin R Mislak | Social Worker | 1040 Hardees Dr Ste F, Aberdeen, MD 21001-2665 | 2013-05-15 |
| 1255784203 | Jasmine Stock | Social Worker | 1040 Hardees Dr Ste F, Aberdeen, MD 21001-2665 | 2016-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1598951089 | Sea-mar Community Health Center | Clinic/Center | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2007-09-19 |
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| Find all providers with the same taxonomy | ||||
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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.