MD TELEPSYCHIATRIC CENTER, L.L.C. (NPI# 1124654652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124654652 |
| Entity Type | Organization |
| Organization Name | MD TELEPSYCHIATRIC CENTER, L.L.C. |
| Practice Address |
13807 Clarkwood Ln Laurel MD 20707-9437 |
| Practice Telephone | 2402648120 |
| Mailing Telephone | 2402648120 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | DR. ERNESTINE M ENOHMBI (PARTNER) |
| Authorized Official Telephone | 2402648120 |
| Authorized Official Credential | DNP, CRNP-FAMILY |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393056 | Md Telepsychiatric Center, L.L.C. | Nurse Practitioner | 13807 Clarkwood Ln, Laurel, MD 20707-9437 | 2020-07-22 |
| Street Address |
13807 CLARKWOOD LN |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154726404 | Ernestine Mbi Enohmbi | Nurse Practitioner | 13807 Clarkwood Ln, Laurel, MD 20707-9437 | 2014-10-29 |
| 1790393056 | Md Telepsychiatric Center, L.L.C. | Nurse Practitioner | 13807 Clarkwood Ln, Laurel, MD 20707-9437 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| 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 |
|---|---|---|---|---|
| 1144837980 | King Health Systems, Inc. | Clinic/Center | 14201 Laurel Park Dr Ste 206, Laurel, MD 20707-5203 | 2020-09-25 |
| 1902417249 | Healing Hands Behavioral Health Services, LLC | Clinic/Center | 14240 W Side Blvd Apt 205, Laurel, MD 20707-6237 | 2020-08-11 |
| 1538785514 | Sophia Rizvi | Clinic/Center | 9712 Northern Lakes Ln, Laurel, MD 20723-5896 | 2020-06-25 |
| 1124648456 | R.i.s.e Family Services LLC | Clinic/Center | 9811 Mallard Dr Ste 203, Laurel, MD 20708-3199 | 2020-04-16 |
| 1376142513 | Comprehensive & Psych Associates, LLC | Clinic/Center | 13932 Baltimore Ave, Laurel, MD 20707-5000 | 2020-10-20 |
| 1477160034 | Cholet K Josue LLC | Clinic/Center | 14201 Laurel Park Dr Ste 221, Laurel, MD 20707-5203 | 2020-09-28 |
| 1417567157 | Matclinic Physicians Practice Group LLC | Clinic/Center | 601 7th St Ste 304, Laurel, MD 20707-4011 | 2020-08-07 |
| 1659993186 | Unbreakable Therapy | Clinic/Center | 542 Central Ave, Laurel, MS 39440-3955 | 2020-05-06 |
| 1396384756 | Imara Counseling Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 224, Laurel, MD 20707-3596 | 2020-01-03 |
| 1063970044 | Jem Counseling Services | Clinic/Center | 14201 Laurel Park Dr Ste 226, Laurel, MD 20707-5230 | 2019-03-08 |
| Find all providers in LAUREL | ||||
Please comment or provide details below to improve the information on MD TELEPSYCHIATRIC CENTER, L.L.C..
| 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.