HARBORSIDE BEHAVIORAL HEALTH, LLC (NPI# 1972069201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069201 |
| Entity Type | Organization |
| Organization Name | HARBORSIDE BEHAVIORAL HEALTH, LLC |
| Practice Address |
41650 Courthouse Dr Unit 301 Leonardtown MD 20650-3893 |
| Mailing Address |
Po Box 452 Valley Lee MD 20692-0452 |
| Practice Telephone | 3014941009 |
| Practice Fax Number | 9702965636 |
| Mailing Telephone | 4434011376 |
| Mailing Fax Number | 9702965636 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | SABRINA SEPULVEDA (OWNER) |
| Authorized Official Telephone | 4434011376 |
| Authorized Official Credential | CRNP-PMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41650 COURTHOUSE DR UNIT 301 |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912284068 | Sabrina Ann Sepulveda | Nurse Practitioner | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2011-11-03 |
| 1780294900 | Kristen Elizabeth Wilson | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2020-08-03 |
| 1730652157 | Jennifer Metlen | Counselor | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2019-01-08 |
| 1316439219 | Jennifer Laura Guy | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2018-06-06 |
| 1295232536 | Alexandria Rigby | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2018-04-12 |
| 1245687482 | Empowered Connections, LLC | Counselor | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912284068 | Sabrina Ann Sepulveda | Nurse Practitioner | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2011-11-03 |
| 1528601036 | Alyssa Susan Williams | Nurse Practitioner | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
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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.