Craig M Boatman (NPI# 1760655013, PAC ID# 3577601954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1760655013 |
| PAC ID by PECOS | 3577601954 |
| Professional Enrollment ID | I20130628000712 |
| Full Name | Craig M Boatman |
| Organization Legal Name | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
| Address |
610 Professional Dr Suite 255 Gaithersburg MD 20879-3463 |
| Phone Number | 2406836202 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3476685181 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 | 2406836202 | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
| 12073 Tech Rd A, Silver Spring, MD 20904-7874 | 2406836202 | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
| Organization Legal Name | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Meldau | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Sandra Bloom | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 5216 Chairmans Ct, Suite 102, Frederick, MD 21703-2858 |
| James Ladner | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Katherine K Jones | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Angela M Ghersi | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Samina Yousufi | Psychiatry | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Bethel N Asres | Physician Assistant | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Alexia D Luka | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Abimbola A Runsewe | Nurse Practitioner | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Derwin D Harris | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Street Address |
610 PROFESSIONAL DR SUITE 255 |
| City | GAITHERSBURG |
| State | MD |
| Zip | 20879-3463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Meldau | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| James Ladner | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Katherine K Jones | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Angela M Ghersi | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Samina Yousufi | Psychiatry | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Bethel N Asres | Physician Assistant | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Alexia D Luka | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Abimbola A Runsewe | Nurse Practitioner | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Derwin D Harris | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| James E Skinner | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P O Brien | Clinical Social Worker | 9426 Stewartown Rd, 2f, Gaithersburg, MD 20879-1607 | |
| Patricia C Decesare | Clinical Social Worker | 921 Russell Ave, Gaithersburg, MD 20879-3252 | |
| Kenneth J Fish | Chiropractic | 937 Russell Ave B, Gaithersburg, MD 20879-3280 | |
| Andrew S Choi | Chiropractic | 973 Russell Ave, A, Gaithersburg, MD 20879-3292 | |
| Nevi Patel | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Mayank Patel | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Judy Lee Datoc | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Noelia Rodriguez | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Compton J Benjamin Jr. | Urology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Jacqueline Lowery | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Find all physicians in zip 20879 | |||
| City | GAITHERSBURG |
| Zip Code | 20879 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GAITHERSBURG + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Craig M Boatman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.