COMMUNITY THERAPEUTIC CENTER,INC (NPI# 1922641307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922641307 |
| Entity Type | Organization |
| Organization Name | COMMUNITY THERAPEUTIC CENTER,INC |
| Practice Address |
4640 Forbes Blvd Ste 310 Lanham MD 20706-4889 |
| Practice Telephone | 2407645133 |
| Mailing Telephone | 2407645133 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | EMMANUEL OWOOJE (PRESIDENT) |
| Authorized Official Telephone | 2407645133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1900222600 | 05 |
| Other Name | Type Code |
|---|---|
| community therapeutic center | Doing Business As Name - Organization |
| community therapeutic center,inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265954226 | Community Therapeutic Center,inc | Community/Behavioral Health | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2017-07-12 |
| 1992348635 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd, Lanham, MD 20706-4323 | 2019-10-25 |
| 1548803893 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd, Lanham, MD 20706-4323 | 2019-10-18 |
| 1417416694 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-03-18 |
| Street Address |
4640 FORBES BLVD STE 310 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265954226 | Community Therapeutic Center,inc | Community/Behavioral Health | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2017-07-12 |
| 1427611284 | Genesis Pediatrics of Maryland,inc. | Pediatrics | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-04-17 |
| 1417416694 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275907644 | Aspire Health and Wellness, LLC | Clinic/Center | 9332 Annapolis Rd, Suite 304, Lanham, MD 20706-3113 | 2015-11-21 |
| 1902237506 | Doctors Community Hospital Clinic LLC | Clinic/Center | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974543 | Dgd Healthcare Solutions,llc | Clinic/Center | 1210 Northern Lights Dr, Upper Marlboro, MD 20774-6049 | 2020-08-28 |
| 1376160382 | Trinity Family and Behavioral Health Services LLC | Clinic/Center | 15612 Norus St, Upper Marlboro, MD 20772-8253 | 2020-06-25 |
| 1255951372 | Holistic Touch Healthcare LLC | Clinic/Center | 1412 Crain Hwy N Ste 3a, Glen Burnie, MD 21061-7000 | 2020-04-18 |
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1629615901 | Regen Medical LLC | Clinic/Center | 3916 Hickory Ave, Baltimore, MD 21211-1834 | 2019-12-05 |
| 1427609429 | Active Spine & Rehab, LLC | Clinic/Center | 802 Cromwell Park Dr, Glen Burnie, MD 21061-2563 | 2019-09-23 |
| 1144888025 | Ethos Health Maryland 1, LLC | Clinic/Center | 4940 Campbell Blvd Ste 130, Nottingham, MD 21236-5910 | 2019-06-05 |
| 1740847201 | Swiftcare Family Clinic and Wellness Inc | Clinic/Center | 1841/1843 Brightseat Road, Landover, MD 20785-2078 | 2019-05-21 |
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
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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.