CORSICA RIVER MENTAL HEALTH SERVICES, INC. (NPI# 1992049100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992049100 |
| Entity Type | Organization |
| Organization Name | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| Practice Address |
502 Poplar St Cambridge MD 21613-1834 |
| Mailing Address |
120 Banjo Ln P.o. Box 718 Centreville MD 21617-1002 |
| Practice Telephone | 4432255780 |
| Practice Fax Number | 4432255783 |
| Mailing Telephone | 4107582211 |
| Mailing Fax Number | 4107581223 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2013-01-12 |
| Authorized Official Name | MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107583050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4214099 00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093249583 | Corsica River Mental Health Services, Inc. | Clinic/Center | 516 Washington Ave Ste 4, Chestertown, MD 21620-1232 | 2017-04-12 |
| 1356875330 | Corsica River Mental Health Services, Inc. | Clinic/Center | 114 Market St Ste 207, Denton, MD 21629-1067 | 2017-04-17 |
| 1710411210 | Corsica River Mental Health Services, Inc. | Clinic/Center | 300 Talbot St, Easton, MD 21601-3525 | 2017-04-12 |
| 1386178879 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-04-12 |
| 1295269785 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2017-04-12 |
| 1922532415 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2017-04-12 |
| 1184171902 | Corsica River Mental Health Services, Inc. | Clinic/Center | 300 Talbot St, Easton, MD 21601-3525 | 2016-09-09 |
| 1033663802 | Corsica River Mental Health Services, Inc. | Clinic/Center | 516 Washington Ave, Suite 4, Chestertown, MD 21620-1225 | 2016-08-10 |
| 1023562899 | Corsica River Mental Health Services, Inc. | Clinic/Center | 114 Market St, Suite 207, Denton, MD 21629-1065 | 2016-08-10 |
| 1306220322 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2015-07-20 |
| Street Address |
502 POPLAR ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598073355 | Catherine Anne Proa | Social Worker | 502 Poplar St, Cambridge, MD 21613-1834 | 2010-09-15 |
| 1396377032 | Andrea Lynn Minerva | Counselor | 502 Poplar St, Cambridge, MD 21613-1834 | 2020-02-11 |
| 1710497912 | Lisa Taylor | Counselor | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-10-03 |
| 1386178879 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-04-12 |
| 1548717903 | Autumn Renee Hart | Social Worker | 502 Poplar St, Cambridge, MD 21613-1834 | 2016-09-02 |
| 1306220322 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1013141993 | Nora Ilniczky, Ph.d., Psychotherapy and Wellbeing, LLC. | Clinic/Center | 1158 Massachusetts Ave, Suite #307, Cambridge, MA 02138-5205 | 2009-05-07 |
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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.