HEALING OAK WELLNESS CENTER, LLC (NPI# 1871948877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871948877 |
| Entity Type | Organization |
| Organization Name | HEALING OAK WELLNESS CENTER, LLC |
| Other Organization Name | HEALING OAK WELLNESS CENTER |
| Practice Address |
15817 Crabbs Branch Way Rockville MD 20855-6613 |
| Practice Telephone | 3012583418 |
| Practice Fax Number | 3012583419 |
| Mailing Telephone | 3012583418 |
| Mailing Fax Number | 3012583419 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | DR. JOHN BURKE MEALY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3012583418 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
702 | MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Healing Oak Wellness Center | Doing Business As Name - Organization |
| Street Address |
15817 CRABBS BRANCH WAY |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20855-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992720205 | Jbmealy and Associates, LLC | Psychologist | 15817 Crabbs Branch Way, Rockville, MD 20855-6613 | 2006-07-13 |
| 1336315217 | Nicole M Stern | Psychologist | 15817 Crabbs Branch Way, Rockville, MD 20855-6613 | 2008-05-01 |
| 1457475816 | Melissa Menditch Phillips | Counselor | 15817 Crabbs Branch Way, Rockville, MD 20855-6613 | 2007-03-19 |
| 1164566857 | Shilpa Saroop | Psychologist | 15817 Crabbs Branch Way, Rockville, MD 20855-6613 | 2007-02-16 |
| 1538254156 | Kathleen M Higgins | Social Worker | 15817 Crabbs Branch Way, Rockville, MD 20855 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801388525 | Michael Robinson | Behavior Technician | 7613 Standish Place, Rockville, MD 20855 | 2018-05-30 |
| 1144722885 | Samantha Green | Occupational Therapist | 15850 Crabbs Branch Way # 150, Rockville, MD 20855 | 2018-03-07 |
| 1144690157 | Katrina Williams | Psychologist | 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 | 2015-10-02 |
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1104155167 | Nicole Renee Christenson | Nurse Practitioner | 6001 Muncaster Mill Rd., Rockville, MO 20855 | 2009-12-21 |
| 1104093244 | Diane Klucinikas Boyd | Audiologist | 18520 Azalea Drive, Derwood, MD 20855 | 2008-05-08 |
| 1437320413 | Shana Rene Mizzer | Social Worker | 8915 Shady Grove Court, Derwood, MD 20855 | 2008-03-18 |
| 1083786032 | Mary Foster Herbers | Social Worker | 15521 Villisca Terrace, Rockville, MD 20855 | 2006-11-14 |
| 1063583698 | Samuel Blum | Dentist | 15720 Crabbs Branch Way, No 1 C, Rockville, MD 20855 | 2006-11-13 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| Find all providers in zip 20855 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662127 | Nicholas Affrunti | Psychologist | 1620 E Jefferson St Apt 327, Rockville, MD 20852-4083 | 2019-11-01 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1346715919 | Tiffany Milligan | Psychologist | 212 King Farm Blvd, Rockville, MD 20850-5871 | 2018-10-09 |
| 1487171658 | Candice Watson | Psychologist | 3200 Tower Oaks Blvd Ste 200, Rockville, MD 20852-4265 | 2017-08-28 |
| 1144558016 | Lashaun Annette Williams | Psychologist | 15803 Crabbs Branch Way, Fl 2, Rockville, MD 20855-2842 | 2009-12-03 |
| 1003049677 | Satoko Shibao | Psychologist | 6232 Montrose Rd, Rockville, MD 20852-4119 | 2009-08-31 |
| 1215166343 | Rona Benhorin | Psychologist | 6207 Executive Blvd, Rockville, MD 20852-3906 | 2009-07-10 |
| 1841446747 | Holly Zanville | Psychologist | 4402 Bestor Dr, Rockville, MD 20853-2137 | 2008-08-11 |
| 1023274818 | Montrose View Psychotherapy Associates, LLC | Psychologist | 6339 Executive Blvd., Rockville, MD 20852-3509 | 2008-08-01 |
| 1164606133 | Paula L Ellman | Psychologist | 6420 Danville Court, Rockville, MD 20852 | 2007-12-26 |
| Find all providers in ROCKVILLE | ||||
Please comment or provide details below to improve the information on HEALING OAK WELLNESS CENTER, LLC.
| 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.