Victoria A Baxter (NPI# 1558327783, PAC ID# 6002855715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1558327783 |
| PAC ID by PECOS | 6002855715 |
| Professional Enrollment ID | I20050513000114 |
| Full Name | Victoria A Baxter |
| Organization Legal Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Address |
5301 Buckeystown Pike Suite 170 Frederick MD 21704-8380 |
| Phone Number | 3107330330 |
| Gender | F |
| Credential | CP |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 5991055022 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 | 3107330330 | BROOK LANE BEHAVIORAL SERVICES, INC. |
| 13215 Brook Lane, Hagerstown, MD 21742-1435 | 3017330330 | BROOK LANE BEHAVIORAL SERVICES, INC. |
| 18714 N Village, Hagerstown, MD 21742-2454 | 3017330330 | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Organization Legal Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gratia Johns Boehme | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 13215 Brook Lane, Hagerstown, MD 21742-1435 |
| Jamal K Fawaz | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Vicki S Churchey | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Chinyere Ugwanyi | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Christopher Wheatley | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| David Gonzalez-cawley | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Letitia Bolds | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Rena V Arnold | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Jenna R Garner | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Jeanne Olson Reed | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Street Address |
5301 BUCKEYSTOWN PIKE SUITE 170 |
| City | FREDERICK |
| State | MD |
| Zip | 21704-8380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shouh-rong Vivian Tsai | Psychologist, Clinical | 5301 Buckeystown Pike, Suite 440, Frederick, MD 21704-8370 | |
| Phoebe Antoinette Underwood-davis | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 |
| Lorrie Hurst | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 |
| Michael P Shea | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 |
| Lindsey J Burd | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 |
| Elizabeth Riitano | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 |
| Taranjeet Jolly | Psychiatry | Brook Lane Behavioral Services, Inc. | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard Anatoly Kazanov | Emergency Medicine | Monocacy Emergency Physicians PC | 5930 Frederick Crossing Ln, Frederick, MD 21704-5137 |
| Lisa Quarles | Physician Assistant | Monocacy Emergency Physicians PC | 5930 Frederick Crossing Ln, Frederick, MD 21704-5137 |
| Jamie E Moore | Emergency Medicine | Monocacy Emergency Physicians PC | 5930 Frederick Crossing Ln, Frederick, MD 21704-5137 |
| Trumer James Wagner Jr. | Emergency Medicine | Monocacy Emergency Physicians PC | 5930 Frederick Crossing Ln, Frederick, MD 21704-5137 |
| Leeann M Hjemvik | Clinical Social Worker | Medpsych Health Services LLC | 7101 Guilford Dr, Suite 100, Frederick, MD 21704-5198 |
| Minerva Rosenthal | Clinical Social Worker | Medpsych Health Services LLC | 7101 Guilford Dr, Frederick, MD 21704-5198 |
| Sarabjit Singh | Psychiatry | Medpsych Health Services LLC | 7101 Guilford Dr, Frederick, MD 21704-5198 |
| Allison Winoker | Clinical Social Worker | Medpsych Health Services LLC | 7101 Guilford Dr, Suite 100, Frederick, MD 21704-5198 |
| John W Stroh | Podiatry | 7101 Guilford Dr, Suite 204, Frederick, MD 21704-5217 | |
| John Patrick Ohsann | Physician Assistant | Select Physical Therapy Holdings Inc | 7101 Guilford Dr, Suite 202, Frederick, MD 21704-5217 |
| Find all physicians in zip 21704 | |||
| City | FREDERICK |
| Zip Code | 21704 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FREDERICK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Victoria A Baxter.
| 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.