MR. BRANDON CLARK (NPI# 1972054393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972054393 |
| Entity Type | Individual |
| Full Name | MR. BRANDON CLARK |
| Credential | CSC-AD |
| Practice Address |
8930 Stanford Blvd Suite M 100 Columbia MD 21045-5805 |
| Practice Telephone | 4432850807 |
| Practice Fax Number | 4432850527 |
| Mailing Telephone | 4432850807 |
| Mailing Fax Number | 4432850527 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC2296 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528522083 | Brandon Clark | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2019-01-29 |
| 1063988939 | Brandon K Clark | Case Manager/Care Coordinator | 103 4th St, Jonesboro, LA 71251-3346 | 2018-10-18 |
| 1932561115 | Brandon W. Clark | Social Worker | 1203 Idaho St, Lewiston, ID 83501-1940 | 2016-03-25 |
| 1871872416 | Brandon C Clark | Counselor | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2011-08-14 |
| 1174844138 | Brandon Clark | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2010-06-14 |
| 1528256955 | Brandon Clark | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-10-10 |
| Street Address |
8930 STANFORD BLVD SUITE M 100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942218300 | Jacqueline Rochelle Douge | Pediatrics | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2006-08-03 |
| 1174067524 | Tierra Fields | Counselor | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-12-05 |
| 1043753379 | Telissa Mackall | Licensed Practical Nurse | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-11-18 |
| 1114479276 | Rhodneisha Toatley | Licensed Practical Nurse | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-25 |
| 1356892400 | Maggie Wainaina | Licensed Practical Nurse | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-24 |
| 1275084337 | Rosalind Jones | Counselor | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-24 |
| 1093266165 | Darryl Arrington | Counselor | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-24 |
| 1013468420 | Kendall Temple Jr. | Counselor | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-10-20 |
| 1932650330 | Teron Powell | Counselor | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-20 |
| 1568919140 | Shelley Jones | Counselor | 8930 Stanford Blvd, Suite M100, Columbia, MD 21045 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018265 | Valeri Hampton | Counselor | 12144 Red Stream Way, Columbia, MD 21044-2785 | 2019-02-05 |
| 1336623016 | Tamara Lynn Robinson | Counselor | 1510 Hatcher Ln Ste 1, Columbia, TN 38401-4813 | 2018-09-19 |
| 1871093922 | Ashton Doby Tisdale | Counselor | 1224 Pickens St Ste 220, Columbia, SC 29201-3428 | 2018-02-15 |
| 1255703039 | The Institute for Community and Family Mental Health Services LLC | Counselor | 2400 Two Notch Rd, Columbia, SC 29204-2227 | 2015-10-20 |
| 1710379284 | Hannah Brown | Counselor | 3525 Bellingham Rd, Columbia, SC 29203-5523 | 2015-02-20 |
| 1336545185 | Lisa M Davis | Counselor | 7121 Columbia Gateway Drive, Columbia, MD 21046 | 2014-11-06 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1093120677 | Jennifer Wentworth Wilson | Counselor | 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 | 2014-06-23 |
| 1578992251 | Amanda Brown | Counselor | 9023 Garners Ferry Road, Columbia, SC 29061-9687 | 2013-11-04 |
| 1154750842 | Dewayne Rowe Sr. | Counselor | 200 Berryhill Rd Apt 338, Columbia, SC 29210-6452 | 2013-11-04 |
| Find all providers in COLUMBIA | ||||
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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.