PYRAMID WALDEN, LLC (NPI# 1134563992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134563992 |
Entity Type | Organization |
Organization Name | PYRAMID WALDEN, LLC |
Practice Address |
21770 Fdr Blvd Lexington Park MD 20653-1558 |
Mailing Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
Practice Telephone | 3018636661 |
Mailing Telephone | 3019971300 |
Enumeration Date | 2013-04-24 |
Last Update Date | 2019-12-12 |
Authorized Official Name | ANNA MCGEE (QUALITY MANAGEMENT SPECIALIST) |
Authorized Official Telephone | 3019971300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 5863 | MD | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 613202202 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235776618 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 1015 Pulaski Hwy, Joppa, MD 21085-3918 | 2019-12-05 |
1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
1427529239 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44867 St. Andrews Church Rd., California, MD 20619-2061 | 2018-12-06 |
1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
1033451257 | Pyramid Walden, LLC | Community/Behavioral Health | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2013-03-26 |
1053611616 | Pyramid Walden, LLC | Counselor | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2010-10-29 |
1841506813 | Pyramid Walden, LLC | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2010-08-27 |
1184954745 | Pyramid Walden, LLC | Counselor | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2010-01-05 |
Street Address |
21770 FDR BLVD |
City | LEXINGTON PARK |
State | MD |
Zip Code | 20653-1558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659368538 | Robert Maman | Psychiatry & Neurology | 21770 Fdr Blvd, Millison Plaza, Lexington Park, MD 20653 | 2005-10-05 |
1285272351 | Samone Bond | Counselor | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2019-12-19 |
1013558303 | Lucy Russell | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2019-10-08 |
1740754134 | Rachel Howell Pingitore | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2019-01-18 |
1124539630 | Susan Bearns | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-2062 | 2017-10-24 |
1366961955 | Melissa Evonne Fletcher | Counselor | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2017-09-14 |
1326595844 | Katrina Ciesielczyk | Counselor | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2016-09-01 |
1326494162 | Andrea Mcdonald-fingland | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2016-05-11 |
1972929602 | Kaya Daley | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2014-03-05 |
1013332279 | Gabrielle Bollino | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2014-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
1659910214 | Shannon Dawn Morley | Family Medicine | 45870 E Run Dr, Lexington Park, MD 20653 | 2019-12-31 |
1366080533 | Crystal Lynn Bradford | Counselor | 21770 Fdr Blvd., Lexington Park, MD 20653 | 2019-12-18 |
1205487584 | Paulette Tyrone Scriber | Technician | 20286 Scriber Ln, Lexington Park, MD 20653 | 2019-09-26 |
1073162103 | Bambii Kreal | Counselor | 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 | 2019-09-11 |
1376039479 | Arianna Marie Day | Social Worker | 21789 N Coral Drive - Ste 2a, Bowes and Associates Psychotherapy LLC, Lexington Park, MD 20653 | 2018-07-02 |
1982032694 | Trico Clinical Services, Ltd | Clinic/Center | 46707 S. Shangri La Drive, Lexington Park, MD 20653 | 2013-10-16 |
1891047726 | Axis Healthcare Group | Social Worker | 45870 East Run Drive, Lexington Park, MD 20653 | 2012-10-02 |
1013164466 | Denise Owens Mullinix | Dentist | 22749 Maple Road, Lexington Park, MD 20653 | 2008-08-27 |
1548440555 | Trico Clinical Services, Ltd | Counselor | 46940 S. Shangri La Drive, Lexington Park, MD 20653 | 2007-11-07 |
Find all providers in zip 20653 |
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 |
---|---|---|---|---|
1134419294 | Vesta Inc | Community/Behavioral Health | 46940 S Shangri La Dr Ste 100, Lexington Park, MD 20653-4007 | 2011-04-11 |
1790265668 | Vesta, Inc. | Community/Behavioral Health | 46940 S Shangri La Dr Ste 100, Lexington Park, MD 20653-4007 | 2018-08-20 |
1033451257 | Pyramid Walden, LLC | Community/Behavioral Health | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2013-03-26 |
1942330345 | Pastoral Counseling Center of St. Mary's, Inc. | Community/Behavioral Health | 21641 Great Mills Rd, Lexington Park, MD 20653-1239 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
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 |
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City | LEXINGTON PARK |
Zip Code | 20653 |
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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.