MR. JACOB A BENTLEY


Address: 5601 Loch Raven Blvd, Pob 406, Baltimore, MD 21239-2945
Phone: 4434444700

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MD 061446700 05

Other Providers JACOB BENTLEY

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

Office Location

Street Address 5601 LOCH RAVEN BLVD
POB 406
City BALTIMORE
State MD
Zip Code 21239-2945

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City BALTIMORE
Zip Code 21239

Improve Information

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Dataset Information

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.

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