PYRAMID WALDEN LLC (NPI# 1881960821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881960821 |
Entity Type | Organization |
Organization Name | PYRAMID WALDEN LLC |
Other Organization Name | WALDEN BEHAVIORAL HEALTH |
Practice Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
Practice Telephone | 3019971300 |
Practice Fax Number | 3019971321 |
Mailing Telephone | 3019971300 |
Mailing Fax Number | 3019971321 |
Enumeration Date | 2012-03-23 |
Last Update Date | 2019-12-12 |
Authorized Official Name | ANNA MCGEE (QUALITY MANAGEMENT SPECIALIST) |
Authorized Official Telephone | 3019971300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 446307200 | 05 | |
MD | 613202201 | 05 |
Other Name | Type Code |
---|---|
Walden Behavioral Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
1447851993 | Pyramid Walden LLC | Social Worker | 44863 St Andrews Church Road, California, MD 20619 | 2020-11-02 |
1093340408 | Pyramid Walden LLC | Substance Abuse Rehabilitation Facility | 44867 St. Andrews Church Rd., California, MD 20619-2061 | 2020-03-05 |
1538696869 | Pyramid Walden LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-05-17 |
1174869291 | Pyramid Walden LLC | Community/Behavioral Health | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2012-12-18 |
1306128434 | Pyramid Walden LLC | Social Worker | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2011-09-14 |
Street Address |
30007 BUSINESS CENTER DR |
City | CHARLOTTE HALL |
State | MD |
Zip Code | 20622-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
1841829223 | Shannan N Eaddy | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2020-04-07 |
1023655388 | Carla Hall | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-12-05 |
1548724040 | Jemill Hester Kollore | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-29 |
1457815680 | Emery Myers | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-22 |
1568931996 | Elizabeth Morison Orff | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2018-11-14 |
1760995021 | Siyami Egbase Takha | Nurse Practitioner | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2017-11-08 |
1588174536 | James Matthew Willett | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-10-04 |
1750800769 | Laura Ebach | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
1154840015 | Paschaun Miller | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
Find all providers in zip 20622 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164895280 | Anni Christensen | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2015-11-11 |
1801274014 | Julia Capizzi | Counselor | 30537 Potomac Way, Suite 101, Charlotte Hall, MD 20622-3179 | 2015-05-08 |
1336551704 | Joanna Graupman | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2014-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
Find all providers with the same taxonomy |
City | CHARLOTTE HALL |
Zip Code | 20622 |
Please comment or provide details below to improve the information on PYRAMID WALDEN 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.