MARYLAND TREATMENT CENTERS, INC. (NPI# 1013361062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013361062 |
| Entity Type | Organization |
| Organization Name | MARYLAND TREATMENT CENTERS, INC. |
| Other Organization Name | MOUNTAIN MANOR- COLUMBIA |
| Practice Address |
8930 Stanford Blvd Columbia MD 21045-5805 |
| Mailing Address |
9701 Keysville Rd Emmitsburg MD 21727-8619 |
| Practice Telephone | 3017625613 |
| Practice Fax Number | 3017623451 |
| Mailing Telephone | 3014472361 |
| Mailing Fax Number | 3014473715 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-05-09 |
| Authorized Official Name | MEGHAN WESTWOOD (CONTRACTS MANAGER) |
| Authorized Official Telephone | 3017625613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Manor- Columbia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538428339 | Maryland Treatment Centers, Inc. | Clinic/Center | 1 Lawrence Ct, Rockville, MD 20850-1523 | 2012-05-14 |
| 1154626752 | Maryland Treatment Centers, Inc. | Clinic/Center | 1107 North Point Blvd Ste 205, Baltimore, MD 21224-3401 | 2011-01-13 |
| 1922244615 | Maryland Treatment Centers, Inc. | Clinic/Center | 2801 Cheverly Ave, 3rd and 4th Floor, Cheverly, MD 20785-3125 | 2008-12-30 |
| 1730277435 | Maryland Treatment Centers, Inc. | Clinic/Center | 174 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4571 | 2006-10-10 |
| 1619082005 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 14703 Avery Rd, Rockville, MD 20853-3605 | 2006-08-19 |
| 1841305232 | Maryland Treatment Centers, Inc. | Clinic/Center | 402-404 Hungerford Drive, Rockville, MD 20850-4119 | 2006-08-19 |
| 1144334178 | Maryland Treatment Centers, Inc. | Counselor | 3243 Eastern Ave, Baltimore, MD 21224-4013 | 2006-08-18 |
| 1508811936 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2006-05-24 |
| 1871949487 | Maryland Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2016-05-12 |
| 1598172892 | Maryland Treatment Centers, Inc. | Clinic/Center | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2014-07-18 |
| Street Address |
8930 STANFORD BLVD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942218300 | Jacqueline Rochelle Douge | Pediatrics | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2006-08-03 |
| 1174067524 | Tierra Fields | Counselor | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-12-05 |
| 1043753379 | Telissa Mackall | Licensed Practical Nurse | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-11-18 |
| 1114479276 | Rhodneisha Toatley | Licensed Practical Nurse | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-25 |
| 1356892400 | Maggie Wainaina | Licensed Practical Nurse | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-24 |
| 1275084337 | Rosalind Jones | Counselor | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-24 |
| 1093266165 | Darryl Arrington | Counselor | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-24 |
| 1013468420 | Kendall Temple Jr. | Counselor | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-10-20 |
| 1932650330 | Teron Powell | Counselor | 8930 Stanford Blvd, M100, Columbia, MD 21045-5805 | 2016-10-20 |
| 1972054393 | Brandon Clark | Counselor | 8930 Stanford Blvd, Suite M 100, Columbia, MD 21045-5805 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135947 | Choice Pain & Rehabilitation Center, LLC | Clinic/Center | 9123 Old Annapolis Rd Ste 203, Columbia, MD 21045-1970 | 2019-10-10 |
| 1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
| 1811383532 | Brooktree Columbia Md LLC | Clinic/Center | 10005-10015 Old Columbia Rd, Suite F-100, Columbia, MD 21046 | 2015-04-09 |
| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1760902563 | Reclaim You, LLC | Clinic/Center | 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 | 2017-06-22 |
| 1013466937 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-04 |
| 1811446057 | Life's Potential Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-09-29 |
| 1912354572 | Phoenix Programs, Inc. | Clinic/Center | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2016-05-24 |
| 1518303213 | Stephanie Hanneken | Clinic/Center | 201 N Garth Ave, Columbia, MO 65203-4105 | 2013-05-21 |
| Find all providers in COLUMBIA | ||||
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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.