THE PETERKIN GROUP OF MARYLAND (NPI# 1942652615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942652615 |
| Entity Type | Organization |
| Organization Name | THE PETERKIN GROUP OF MARYLAND |
| Practice Address |
9033 Poplar Rd Berlin MD 21811-2949 |
| Practice Telephone | 9104762796 |
| Practice Fax Number | 8434541283 |
| Mailing Telephone | 9104762796 |
| Mailing Fax Number | 8434541283 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | BARBARA ANN LITTLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9104762796 |
| Authorized Official Credential | MHQP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | MD | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
9033 POPLAR RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750786505 | Autism Behavior Center | Community/Behavioral Health | 1 Whitney Rd, Berlin, MA 01503-1653 | 2014-10-22 |
| 1649524844 | Arc of Camden County, Inc. | Community/Behavioral Health | 215 W White Horse Pike, Berlin, NJ 08009-1132 | 2012-11-09 |
| 1740456656 | Women of Hope Resource Center, Inc | Community/Behavioral Health | 14 Estaugh Ave, Berlin, NJ 08009-1414 | 2008-05-01 |
| 1598889685 | Steininger Behavioral Care Services | Community/Behavioral Health | 128 Cross Keys Rd, Berlin, NJ 08009-9201 | 2007-03-16 |
| 1174147334 | Invigorate Psychotherapy LLC | Community/Behavioral Health | 314 New Britain Rd Ste C, Berlin, CT 06037-5306 | 2020-06-03 |
| 1033779327 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1025 Main St, Berlin, PA 15530-1426 | 2019-06-18 |
| 1801359302 | Androscoggin Valley Hospital, Inc. | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-04-11 |
| 1366900219 | Weeks Medical Center | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-03-11 |
| 1396233474 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-25 |
| 1558859702 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-24 |
| Find all providers in BERLIN | ||||
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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.