RESPIRE BEHAVIORAL HEALTH (NPI# 1124634241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124634241 |
| Entity Type | Organization |
| Organization Name | RESPIRE BEHAVIORAL HEALTH |
| Practice Address |
479 Jumpers Hole Rd Ste 306 Severna Park MD 21146-1751 |
| Mailing Address |
112 W Pennsylvania Ave Ste 100 Bel Air MD 21014-3663 |
| Practice Telephone | 4109871036 |
| Mailing Telephone | 4109871036 |
| Mailing Fax Number | 8882240984 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | DR. SYRETTA R JAMES (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 4109871036 |
| Authorized Official Credential | PHD, ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Respire | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 W Pennsylvania Ave Ste 100, Bel Air, MD 210143663 | 4109871036 | 8882240984 |
| Street Address |
479 JUMPERS HOLE RD STE 306 |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| 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 |
|---|---|---|---|---|
| 1619441631 | Bradford Counseling Services, LLC | Clinic/Center | 815 Ritchie Hwy Ste 213, Severna Park, MD 21146-4165 | 2019-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920916 | Healing Practice Counseling, Inc | Clinic/Center | 7908 Garland Ave, Takoma Park, MD 20912-6814 | 2020-10-22 |
| 1972102309 | Arise & Shine Health Center LLC | Clinic/Center | 2301 Dorsey Rd Ste 208, Glen Burnie, MD 21061-3275 | 2020-10-17 |
| 1942807987 | Ray of Hope Counseling Center LLC | Clinic/Center | 48 Wedge Way, Pikesville, MD 21208-1210 | 2020-10-02 |
| 1255948642 | Apple Tree Wellness | Clinic/Center | 119 Teachers Way Apt 3044, Gaithersburg, MD 20877-3176 | 2020-09-29 |
| 1154938975 | Lovework, LLC | Clinic/Center | 2352 Eutaw Pl Apt 3, Baltimore, MD 21217-4084 | 2020-09-25 |
| 1144837980 | King Health Systems, Inc. | Clinic/Center | 14201 Laurel Park Dr Ste 206, Laurel, MD 20707-5203 | 2020-09-25 |
| 1871109181 | Journey Health Center | Clinic/Center | 1808 Woodlawn Dr Ste O, Gwynn Oak, MD 21207-4023 | 2020-09-22 |
| 1801402656 | Desicare LLC | Clinic/Center | 7712 West Shore Road, Pasadena, MD 21122-1519 | 2020-09-17 |
| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
| 1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
Please comment or provide details below to improve the information on RESPIRE BEHAVIORAL HEALTH.
| 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.