MR. JACOB A BENTLEY (NPI# 1023261831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023261831 |
Entity Type | Individual |
Full Name | MR. JACOB A BENTLEY |
Credential | MA, RC |
Practice Address |
5601 Loch Raven Blvd Pob 406 Baltimore MD 21239-2945 |
Mailing Address |
Po Box 64407 Baltimore MD 21264-4407 |
Practice Telephone | 4434444700 |
Enumeration Date | 2008-10-24 |
Last Update Date | 2013-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
05286 | MD | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | RC60042490 | WA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 061446700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417127432 | Jacob Eric Bentley | Orthotist | 127 Enterprise Path, Ste 403, Hiram, GA 30141-2697 | 2008-03-05 |
1649803701 | Jacob Michael Bentley | Counselor | 3712 Middlebrook Pike, Knoxville, TN 37921-6503 | 2020-02-18 |
Street Address |
5601 LOCH RAVEN BLVD POB 406 |
City | BALTIMORE |
State | MD |
Zip Code | 21239-2945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
Find all providers in zip 21239 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679111306 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 203924, Baltimore, MD 21202-4736 | 2019-12-12 |
1376196659 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 204-206, Baltimore, MD 21202-4736 | 2019-07-16 |
1063980464 | Mercy Mental Healthcare Services, Inc | Psychologist | 20 S Hilton St, Baltimore, MD 21229-3724 | 2018-11-05 |
1669957544 | Tracey Andrea Royster-bennett | Psychologist | 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 | 2018-09-26 |
1376038976 | Gia Monique Winfield | Psychologist | 2118 N Charles St Apt 2, Baltimore, MD 21218-5797 | 2018-06-26 |
1841705407 | Conduit Inc | Psychologist | 3901 Park Heights Ave, Baltimore, MD 21215-7013 | 2017-12-05 |
1831562040 | Christopher Lloyd Matih Sr. | Psychologist | Community Bridge Builders of Maryland LLC, 5900 York Road, Suite 206, Baltimore, MD 21212-3041 | 2015-11-10 |
1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
1033680749 | American Psychiatric Group Pa | Psychologist | 17 E Franklin St, Baltimore, MD 21202-2203 | 2018-12-07 |
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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.