BEHAVIORAL HEALTHCARE OF MARYLAND (NPI# 1902142839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902142839 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTHCARE OF MARYLAND |
| Practice Address |
1405 Madison Park Drive Suite 1b Glen Burnie MD 21061 |
| Practice Telephone | 4104876302 |
| Practice Fax Number | 4435176072 |
| Mailing Telephone | 4104876302 |
| Mailing Fax Number | 4435176072 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | MR. WILBUR IAN CORT (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3018912077 |
| 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) |
MH-531 | MD | Ambulatory Health Care Facilities |
| Street Address |
1405 MADISON PARK DRIVE SUITE 1B |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102309 | Arise & Shine Health Center LLC | Clinic/Center | 2301 Dorsey Rd Ste 208, Glen Burnie, MD 21061-3275 | 2020-10-17 |
| 1740723162 | Blossoms House of Restoration | Clinic/Center | 900 Crain Hwy S, Glen Burnie, MD 21061-3942 | 2016-12-03 |
| 1275877870 | Time Organization, Inc | Clinic/Center | 7310 Ritchie Hwy Ste 100, Glen Burnie, MD 21061-3170 | 2012-11-20 |
| 1881215101 | Kenah One Health Care Services, LLC | Clinic/Center | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2020-04-27 |
| 1922642925 | Empowering Mind Resource Center | Clinic/Center | 7954 Baltimore Annapolis Blvd, Glen Burnie, MD 21060-8188 | 2019-11-01 |
| 1548754575 | M&m Behavioral Health Solutions | Clinic/Center | 1406 Crain Hwy S Ste 104, Glen Burnie, MD 21061-4086 | 2018-06-22 |
| 1912499096 | Health & Wellness Outpatient Treatment Services, LLC | Clinic/Center | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061 | 2018-06-04 |
| 1528496650 | Holistic Approach Mental Health, LLC | Clinic/Center | 7452 Baltimore Annapolis Blvd, Suite #107, Glen Burnie, MD 21061-3547 | 2013-10-29 |
| 1104983568 | Omni House Inc | Clinic/Center | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920916 | Healing Practice Counseling, Inc | Clinic/Center | 7908 Garland Ave, Takoma Park, MD 20912-6814 | 2020-10-22 |
| 1942807987 | Ray of Hope Counseling Center LLC | Clinic/Center | 48 Wedge Way, Pikesville, MD 21208-1210 | 2020-10-02 |
| 1255948642 | Apple Tree Wellness | Clinic/Center | 119 Teachers Way Apt 3044, Gaithersburg, MD 20877-3176 | 2020-09-29 |
| 1154938975 | Lovework, LLC | Clinic/Center | 2352 Eutaw Pl Apt 3, Baltimore, MD 21217-4084 | 2020-09-25 |
| 1144837980 | King Health Systems, Inc. | Clinic/Center | 14201 Laurel Park Dr Ste 206, Laurel, MD 20707-5203 | 2020-09-25 |
| 1871109181 | Journey Health Center | Clinic/Center | 1808 Woodlawn Dr Ste O, Gwynn Oak, MD 21207-4023 | 2020-09-22 |
| 1801402656 | Desicare LLC | Clinic/Center | 7712 West Shore Road, Pasadena, MD 21122-1519 | 2020-09-17 |
| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
| 1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
| 1487268363 | Dbt of Maryland | Clinic/Center | 10630 Little Patuxent Pkwy Ste 209b, Columbia, MD 21044-3264 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.