MR. JAMAL GARY SISCO (NPI# 1033775853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033775853 |
| Entity Type | Individual |
| Full Name | MR. JAMAL GARY SISCO |
| Practice Address |
13324 Burleigh St Upper Marlboro MD 20774-1961 |
| Practice Telephone | 2028391645 |
| Mailing Telephone | 2028391645 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MD | Behavioral Health & Social Service Providers |
| Street Address |
13324 BURLEIGH ST |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982260717 | Sowing Seeds Ministry LLC | Counselor | 13324 Burleigh St, Upper Marlboro, MD 20774-1961 | 2019-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935918 | Vanessa Valdez | Counselor | 44 Castleton Dr, Upper Marlboro, MD 20774-1439 | 2020-02-28 |
| 1972144822 | Sacorra Breanna Hepburn | Counselor | 176 Greenmeadow Way Apt A, Upper Marlboro, MD 20774-1147 | 2019-10-02 |
| 1013561000 | Herenia Munoz | Counselor | 4212 Largo Rd, Upper Marlboro, MD 20772-7840 | 2019-07-28 |
| 1982260717 | Sowing Seeds Ministry LLC | Counselor | 13324 Burleigh St, Upper Marlboro, MD 20774-1961 | 2019-05-16 |
| 1306302187 | Tosha Lindsey | Counselor | 9743 Glassy Creek Way, Upper Marlboro, MD 20772-4024 | 2019-02-15 |
| 1922579481 | Kristy Teresa Godwin | Counselor | 13603 Mary Bowie Pkwy, Upper Marlboro, MD 20774-9075 | 2018-12-10 |
| 1598247454 | Peace of Mind Therapy, LLC | Counselor | 9640 Marlboro Pike, Upper Marlboro, MD 20772-0000 | 2018-09-06 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| 1942744040 | United Counseling and Support Services LLC | Counselor | 9701 Apollo Dr. Suite 310, Upper Marlboro, MD 20774 | 2016-12-07 |
| 1922551613 | Dine White | Counselor | 12250 Open View Ln, Upper Marlboro, MD 20774 | 2016-07-28 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on MR. JAMAL GARY SISCO.
| 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.