NEW PATHWAYS THERAPEUTIC SERVICES (NPI# 1114125341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114125341 |
| Entity Type | Organization |
| Organization Name | NEW PATHWAYS THERAPEUTIC SERVICES |
| Practice Address |
4200 Forbes Blvd Ste 202 Lanham MD 20706-4829 |
| Mailing Address |
5120 Glenn Dale Woods Ct Glenn Dale MD 20769-9114 |
| Practice Telephone | 3015777390 |
| Practice Fax Number | 3015777392 |
| Mailing Telephone | 3015777390 |
| Mailing Fax Number | 3015777392 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | MS. ELAINE M. WILSON (OWNER CEO) |
| Authorized Official Telephone | 3015777390 |
| Authorized Official Credential | LCSWC, LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407234100 | 05 | |
| AETNA | 7154711 | 01 |
| Street Address |
4200 FORBES BLVD STE 202 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538367669 | Eelssen International, LLC | Clinic/Center | 4200 Forbes Blvd Ste 202, Lanham, MD 20706-4829 | 2007-07-10 |
| 1346486834 | Elaine Marie Wilson | Social Worker | 4200 Forbes Blvd Ste 202, Lanham, MD 20706-4829 | 2009-01-05 |
| 1144429291 | New Pathways Therapeutic Services, Inc. | Clinic/Center | 4200 Forbes Blvd Ste 202, Lanham, MD 20706-4829 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266649 | First Choice Fountain Care | Clinic/Center | 8919 91st Pl, Lanham, MD 20706-1911 | 2020-08-19 |
| 1578036521 | Alphonso Lewis | Clinic/Center | 10104 Senate Dr Ste 228, Lanham, MD 20706-4395 | 2019-01-02 |
| 1346740511 | Delight Healthcare Services, Inc | Clinic/Center | 9470 Annapolis Rd # 114, Lanham, MD 20706-3025 | 2018-02-14 |
| 1538367669 | Eelssen International, LLC | Clinic/Center | 4200 Forbes Blvd Ste 202, Lanham, MD 20706-4829 | 2007-07-10 |
| 1851348536 | Alek's House, LLC | Clinic/Center | 4200 Forbes Blvd, Ste 104, Lanham, MD 20706-4342 | 2006-05-28 |
| 1831759984 | Abundant Healthcare Services Inc | Clinic/Center | 9831 Greenbelt Rd Ste 103, Lanham, MD 20706-6224 | 2019-06-19 |
| 1821568122 | Metropolitan Behavioral Health Services, Inc | Clinic/Center | 5900 Princess Garden Pkwy Ste 670, Lanham, MD 20706-2957 | 2018-11-29 |
| 1366927774 | Win Team, LLC | Clinic/Center | 10001 Derekwood Ln Ste 210, Lanham, MD 20706-4865 | 2018-10-02 |
| 1275024960 | Echo Therapy Services, LLC | Clinic/Center | 6944 Nashville Rd, Lanham, MD 20706-4614 | 2018-05-29 |
| 1922537067 | Eyerosie LLC | Clinic/Center | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2017-06-11 |
| Find all providers in LANHAM | ||||
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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.