DR. MARYANNE BONGIOVANI (NPI# 1164570354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164570354 |
| Entity Type | Individual |
| Full Name | DR. MARYANNE BONGIOVANI |
| Practice Address |
9050 Chevrolet Dr Ellicott City MD 21042-4018 |
| Mailing Address |
10527 Dorchester Way Woodstock MD 21163-1377 |
| Practice Telephone | 4107509493 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
02316 | MD | Behavioral Health & Social Service Providers |
| Street Address |
9050 CHEVROLET DR |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093979544 | Caitlin Brown Dunning | Psychologist | 4785 Dorsey Hall Dr, Suite 125, Ellicott City, MD 21042-7728 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998829 | Anna Elizabeth Pozzatti | Psychologist | 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 | 2020-09-23 |
| 1356969802 | Together We Rise LLC | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-10 |
| 1336769561 | Breakthrough Therapeutic Concepts, LLC. | Psychologist | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 | 2020-04-17 |
| 1033772272 | Stephanie Judd | Psychologist | 3901 Rosemary St, Chevy Chase, MD 20815-5223 | 2019-04-14 |
| 1942794870 | Annie Rabinovitch | Psychologist | 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 | 2018-06-14 |
| 1972094167 | Bk Behavioral Health Center | Psychologist | 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 | 2018-05-23 |
| 1477938215 | Deborah A Odonnell, Phd, Clinical Psychologist, LLC | Psychologist | 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887 | 2015-07-22 |
| 1336535319 | Roderick Irving Wellington | Psychologist | 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 | 2015-04-07 |
| 1225438344 | Marjorie Katherine Mccalla | Psychologist | 720 Aliceanna St, Baltimore, MD 21202-4387 | 2014-08-26 |
| 1992122923 | Kendel Wylie-pugh | Psychologist | 4309 Travancore Ct, Randallstown, MD 21133-1315 | 2014-03-27 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.