CHESAPEAKE SOUTH THERAPEUTIC GROUP LLC (NPI# 1992165641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992165641 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE SOUTH THERAPEUTIC GROUP LLC |
| Practice Address |
23127 Three Notch Rd Suite 101 California MD 20619-2402 |
| Practice Telephone | 3017522615 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | JESSICA Z BOWLING (THERAPIST/ AUTHORIZED MEMBER) |
| Authorized Official Telephone | 3017522615 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LC3556 | MD | Agencies |
| Street Address |
23127 THREE NOTCH RD SUITE 101 |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376643098 | Jay M. Lipoff | Chiropractor | 23127 Three Notch Rd, Suite #205, California, MD 20619-2402 | 2006-09-23 |
| 1255403671 | Robert L Smith | Chiropractor | 23127 Three Notch Rd, California, MD 20619-2402 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| 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 |
|---|---|---|---|---|
| 1730333600 | Moniteau County Senate Bill 40 Board | Community/Behavioral Health | 1509 Industrial Park Dr, California, MO 65018-1883 | 2008-11-05 |
| 1912384256 | You Turn Inc | Community/Behavioral Health | 318 S Oak, California, MO 65018 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA |
| Zip Code | 20619 |
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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.