CATHRYNE L. MACIOLEK, PSY.D., LLC (NPI# 1053703298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053703298 |
| Entity Type | Organization |
| Organization Name | CATHRYNE L. MACIOLEK, PSY.D., LLC |
| Other Organization Name | THE MANDALA CENTER: BEHAVIORAL HEALTH & WELLNESS |
| Practice Address |
540 E. Belvedere Avenue Suite 203 Baltimore MD 21212 |
| Mailing Address |
540 E Belvedere Ave Suite 203 Baltimore MD 21212-3750 |
| Practice Telephone | 4105915380 |
| Mailing Telephone | 4105915380 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | DR. CATHRYNE L MACIOLEK (PRINCIPAL) |
| Authorized Official Telephone | 4105915380 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05298 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 393635 | 01 |
| Other Name | Type Code |
|---|---|
| The Mandala Center: Behavioral Health & Wellness | Other Name - Individual/Organization |
| Street Address |
540 E. BELVEDERE AVENUE SUITE 203 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385577 | Rise Life Solutions | Psychologist | 22 S Exeter St, Baltimore, MD 21202-4628 | 2020-04-20 |
| 1821617648 | Deborah Antonia Drummer | Psychologist | 1608 Burnwood Rd, Baltimore, MD 21239-3603 | 2020-04-11 |
| 1669091823 | Catherine Marie Corno Garofano | Psychologist | 10 N Greene St # 6d109, Baltimore, MD 21201-1524 | 2020-04-08 |
| 1184251969 | One Healing Education and Renewing Through Therapy | Psychologist | 210 E Lexington St. Suite 400, Suite 400, Baltimore, MD 21202-0000 | 2020-03-24 |
| 1376176974 | Jennifer May Lorenzo | Psychologist | 209 W Fayette St Fl 4, Baltimore, MD 21201-3403 | 2020-02-21 |
| 1235774878 | Sarah E Ryan | Psychologist | 707 Grundy St, Baltimore, MD 21224-4344 | 2019-11-07 |
| 1205494200 | Ophira Weiskopf | Psychologist | 3705 W Rogers Ave, Baltimore, MD 21215-4525 | 2019-06-04 |
| 1487129813 | Mental Health Assessment and Wellness, LLC | Psychologist | 5911 York Rd Ste 100, Baltimore, MD 21212-3048 | 2018-10-12 |
| 1023594017 | Yaakov Shugarman | Psychologist | 5603 Newbury St, Baltimore, MD 21209-3603 | 2018-07-13 |
| 1285140541 | Omolara Akinrinade | Psychologist | 6722 Valley Creek Dr, Baltimore, MD 21207-5319 | 2017-12-22 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on CATHRYNE L. MACIOLEK, PSY.D., LLC.
| 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.