HARBOUR HOUSE INC (NPI# 1902083181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902083181 |
| Entity Type | Organization |
| Organization Name | HARBOUR HOUSE INC |
| Other Organization Name | PSIKI |
| Practice Address |
8354 Woodlawn Road Millersville MD 21108 |
| Mailing Address |
5 Oak Court Annapolis MD 21401 |
| Practice Telephone | 4102663040 |
| Practice Fax Number | 4433783540 |
| Mailing Telephone | 4102663040 |
| Mailing Fax Number | 4433783540 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2019-08-22 |
| NPI Deactivation Date | 01/16/2019 |
| NPI Reactivation Date | 2019-08-22 |
| Authorized Official Name | MR. ROGER DEAN RILEY (ADMINISTRATOR) |
| Authorized Official Telephone | 4433108753 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| PsiKi | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Oak Ct, Annapolis, MD 214017017 | 4102553539 | |
| 1521 Widows Mite Rd, Edgewater, MD 210372144 | 4102553539 | |
| 8350 Woodlawn Road, Millersville, MD 21108 | 4102553539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1124595376 | Harbour House Inc | Substance Abuse Rehabilitation Facility | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2018-10-25 |
| 1891201471 | Harbour House Inc | Counselor | 5 Oak Ct, Annapolis, MD 21401-7017 | 2017-12-19 |
| 1093251746 | Harbour House Inc | Psychiatric Residential Treatment Facility | 1521 Widows Mite Rd, Edgewater, MD 21037-2144 | 2017-01-18 |
| Street Address |
8354 WOODLAWN ROAD |
| City | MILLERSVILLE |
| State | MD |
| Zip Code | 21108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
| 1154949816 | Rukiya Davis | Social Worker | Villa Maria Catholic Charities 1111 Benfield Blvd, Ste 200, Millersville, MD 21108 | 2020-07-09 |
| 1073175485 | Elaine Reed | Social Worker | 1111 Benfied Blvd Suite 104, Millersville, MD 21108 | 2019-07-05 |
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1235653817 | Jacob A Becker | Chiropractor | 683 Old Mill Road, Millersville, MD 21108 | 2017-07-26 |
| 1336669563 | Ilene Abigail Gruber | Social Worker | 1114 Benefield Blvd, Suite G, Millersville, MD 21108 | 2017-06-20 |
| 1700338654 | Lisa Maholchic | Social Worker | 1114 Befield Blvd, Unit G, Millersville, MD 21108 | 2016-10-26 |
| 1174962658 | Christy Joy Shiloh | Specialist | 649 Old Mill Road, Millersville, MD 21108 | 2013-06-18 |
| 1396022406 | Christina Triantafilidis | Physical Therapist | 8638 Veterans Hwy Fl 1, Millersville, MD 21108 | 2011-11-03 |
| 1316253180 | Anuj Bhatnagar | Family Medicine | 8601 Veterans Hwy Ste 200, Millersville, MD 21108 | 2010-08-31 |
| Find all providers in zip 21108 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSVILLE |
| Zip Code | 21108 |
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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.