CORSICA RIVER MENTAL HEALTH SERVICES, INC. (NPI# 1922532415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922532415 |
| Entity Type | Organization |
| Organization Name | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| Practice Address |
933 S Talbot St Ste 4 St Michaels MD 21663-2605 |
| Mailing Address |
120 Banjo Ln Centreville MD 21617-1002 |
| Practice Telephone | 4107458028 |
| Mailing Telephone | 4107582211 |
| Mailing Fax Number | 4107580698 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | MR. JOHN F PLASKON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107583050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
906419 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093249583 | Corsica River Mental Health Services, Inc. | Clinic/Center | 516 Washington Ave Ste 4, Chestertown, MD 21620-1232 | 2017-04-12 |
| 1356875330 | Corsica River Mental Health Services, Inc. | Clinic/Center | 114 Market St Ste 207, Denton, MD 21629-1067 | 2017-04-17 |
| 1710411210 | Corsica River Mental Health Services, Inc. | Clinic/Center | 300 Talbot St, Easton, MD 21601-3525 | 2017-04-12 |
| 1386178879 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-04-12 |
| 1295269785 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2017-04-12 |
| 1184171902 | Corsica River Mental Health Services, Inc. | Clinic/Center | 300 Talbot St, Easton, MD 21601-3525 | 2016-09-09 |
| 1033663802 | Corsica River Mental Health Services, Inc. | Clinic/Center | 516 Washington Ave, Suite 4, Chestertown, MD 21620-1225 | 2016-08-10 |
| 1023562899 | Corsica River Mental Health Services, Inc. | Clinic/Center | 114 Market St, Suite 207, Denton, MD 21629-1065 | 2016-08-10 |
| 1306220322 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2015-07-20 |
| 1891179099 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2015-07-17 |
| Street Address |
933 S TALBOT ST STE 4 |
| City | ST MICHAELS |
| State | MD |
| Zip Code | 21663-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225200025 | Douglas Jon Hamsher | Physician Assistant | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2008-04-01 |
| 1972126761 | Yenisey Valdes Torres | Dentist | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2020-05-27 |
| 1336769082 | Choptank Community Health System Inc | Clinic/Center | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2020-04-23 |
| 1760019194 | Vicki Baer Berrier | Dental Hygienist | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2020-03-25 |
| 1669986493 | Gregory Dukes | Registered Nurse | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679994578 | Pemberton Pharmacy & Gift St Michaels, LLC | Pharmacy | 204 South Talbot Street, St Michaels, MD 21663 | 2013-12-18 |
| 1265746630 | Steven Chritian Della Vecchia | Psychologist | 103 East Chestnut Street, Saint Michaels, MD 21663 | 2010-07-28 |
| 1104996099 | Deck LLC | Pharmacy | 204 S Talbot, St Michaels, MD 21663 | 2006-11-08 |
| 1770508806 | David Wayne Hopkins Jr. | Pharmacist | 204 South Talbot St, St. Michaels, MD 21663 | 2006-07-12 |
| 1326007634 | Kaitlin M Waldrip | Social Worker | 1013 Talbot St, Unit L, St Michaels, MD 21663 | 2006-03-23 |
| 1215246707 | Deborah C. Gootee Crnp-pmh, LLC | Nurse Practitioner | 103 East Chestnut Street, Saint Michaels, MD 21663 | 2010-09-30 |
| 1447455498 | Anthony J. Drobnick, Md | Clinic/Center | Po Box V, 411 Talbot Street, Saint Michaels, MD 21663-0660 | 2007-06-19 |
| 1598235434 | Lynn A Brennan | Occupational Therapist | 24749 Swan Rd, St Michaels, MD 21663-2321 | 2018-12-04 |
| 1225412588 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St, Suite 4, St Michaels, MD 21663-2604 | 2015-07-16 |
| 1568762599 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St, Suite 4, St Michaels, MD 21663-2604 | 2010-10-25 |
| Find all providers in zip 21663 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412588 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St, Suite 4, St Michaels, MD 21663-2604 | 2015-07-16 |
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|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | ST MICHAELS |
| Zip Code | 21663 |
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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.