LANTERN THERAPEUTIC SERVICES, INC (NPI# 1952724205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952724205 |
| Entity Type | Organization |
| Organization Name | LANTERN THERAPEUTIC SERVICES, INC |
| Practice Address |
11680 Doolittle Dr Suite 111 Waldorf MD 20602-3801 |
| Mailing Address |
1282 Smallwood Dr W Suite 507 Waldorf MD 20603-4732 |
| Practice Telephone | 2406072756 |
| Practice Fax Number | 2406072776 |
| Mailing Telephone | 2406072756 |
| Mailing Fax Number | 2406072776 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | MS. KAREN JONES (CLINICAL DIRECTOR/ CEO) |
| Authorized Official Telephone | 2406072756 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 420333000 | 05 |
| Street Address |
11680 DOOLITTLE DR SUITE 111 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216827 | James Egan | Psychiatry & Neurology | 11680 Doolittle Dr, Suite 111, Waldorf, MD 20602-3801 | 2006-02-24 |
| 1104224625 | Pc Counseling Services, LLC | Counselor | 11680 Doolittle Dr, Suite 116, Waldorf, MD 20602-3801 | 2014-12-16 |
| 1396169116 | Keely Sherell Walston | Social Worker | 11680 Doolittle Dr, Waldorf, MD 20602-3801 | 2014-02-13 |
| 1942529920 | Lantern Therapeutic Services | Community/Behavioral Health | 11680 Doolittle Dr, Suite 119, Waldorf, MD 20602 | 2010-05-29 |
| 1174773378 | Anita Wiley | Counselor | 11680 Doolittle Dr, Suite 116, Waldorf, MD 20602-3801 | 2008-09-24 |
| 1922148014 | Yvette Bishop | Counselor | 11680 Doolittle Dr, Suite 109, Waldorf, MD 20602-3801 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216827 | James Egan | Psychiatry & Neurology | 11680 Doolittle Dr, Suite 111, Waldorf, MD 20602-3801 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| 1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| 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.