MAPLE SHADE YOUTH AND FAMILY SERVICES, INC. (NPI# 1073841052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073841052 |
| Entity Type | Organization |
| Organization Name | MAPLE SHADE YOUTH AND FAMILY SERVICES, INC. |
| Other Organization Name | CRISFIELD CLINIC |
| Practice Address |
382 W Main St Crisfield MD 21817-1329 |
| Practice Telephone | 4102022750 |
| Mailing Telephone | 4102022750 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | JARVIA FISHELL (CEO) |
| Authorized Official Telephone | 4107427400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Crisfield Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942539259 | Maple Shade Youth and Family Services, Inc. | Case Management | 11793 Somerset Ave, Princess Anne, MD 21853-1240 | 2009-12-15 |
| 1326376302 | Maple Shade Youth and Family Services, Inc. | Community/Behavioral Health | 11760 Somerset Ave, Princess Anne, MD 21853-1239 | 2009-12-02 |
| 1780134486 | Maple Shade Youth and Family Services, Inc. | Respite Care | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2016-10-06 |
| 1013246271 | Maple Shade Youth and Family Services, Inc. | Case Management | 382 W Main St, Crisfield, MD 21817-1329 | 2009-12-17 |
| 1104978162 | Maple Shade Youth and Family Services, Inc. | Community/Behavioral Health | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2007-01-18 |
| Street Address |
382 W MAIN ST |
| City | CRISFIELD |
| State | MD |
| Zip Code | 21817-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687991 | Skyler Brooke Irons | Social Worker | 382 W Main St, Crisfield, MD 21817-1329 | 2019-06-06 |
| 1134677453 | Stephanie James | Social Worker | 382 W Main St, Crisfield, MD 21817-1329 | 2016-09-15 |
| 1013246271 | Maple Shade Youth and Family Services, Inc. | Case Management | 382 W Main St, Crisfield, MD 21817-1329 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396055539 | Heather Lee Shelton | Social Worker | 382 W. Main Street, Crisfield, MD 21817 | 2010-10-20 |
| 1336326271 | Kevin James Marsh | Counselor | 19 Mill Lane, Crisfield, MD 21817 | 2008-01-23 |
| 1770671513 | Bruce Cluff Ramsay | Dentist | 26380 Asbury Ave, Crisfield, MD 21817 | 2006-10-10 |
| 1801874300 | Terry H Passano | Dietitian, Registered | 201 Hall Highway, Crisfield, MD 21817 | 2006-01-04 |
| 1972581825 | Somerset Health Services LLC | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-01-02 |
| 1568454239 | Frank E Goldman | Pharmacist | Mccready Memorial Hospital, 201 Hall Highway, Crisfield, MD 21817 | 2005-08-18 |
| 1740519784 | Ma Amil Perilla | Physical Therapist | 201 Hall Highway, Crisfield, MD 21817 | 2009-12-22 |
| 1962593699 | Shah Mohammed Yahya | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-09-27 |
| 1841205242 | Libertad Holazo Escalante | Pediatrics | 324 W Main St, Crisfield, MD 21817 | 2006-07-31 |
| 1023058062 | Mccready Foundation, Inc | Anesthesiology | 201 Hall Hwy, Crisfield, MD 21817 | 2006-06-07 |
| Find all providers in zip 21817 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558992560 | Focus Point Solutions LLC | Community/Behavioral Health | 26423 Burton Ave, Crisfield, MD 21817-1248 | 2020-01-29 |
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| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
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| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
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| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.