UNCAGED POTENTIAL (NPI# 1205469475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205469475 |
| Entity Type | Organization |
| Organization Name | UNCAGED POTENTIAL |
| Practice Address |
1 Olympic Pl Ste 900 Towson MD 21204-4113 |
| Mailing Address |
703 Dale Ave Baltimore MD 21206-1308 |
| Practice Telephone | 2019206787 |
| Mailing Telephone | 2019206787 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | JEFFREY AVILES (THERAPIST) |
| Authorized Official Telephone | 2019206787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1 OLYMPIC PL STE 900 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891252367 | Celestine Hinton | Case Manager/Care Coordinator | 1 Olympic Pl Ste 900, Towson, MD 21204-4113 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896669 | Empathetic Connections LLC | Clinic/Center | 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5017 | 2019-08-13 |
| 1982217154 | Center Well Counseling LLC | Clinic/Center | 405 Allegheny Ave, Towson, MD 21204-4256 | 2020-08-27 |
| 1700409794 | Amanda Sun, LLC | Clinic/Center | 1122 Kenilworth Dr Ste 100, Towson, MD 21204-2142 | 2020-05-25 |
| 1649747569 | Barbara Elgin | Clinic/Center | 8415 Bellona Ln Ste 215, Towson, MD 21204-2066 | 2018-10-29 |
| 1629582960 | Clear Mind Health | Clinic/Center | 515 E Joppa Rd Ste 100, Towson, MD 21286-1804 | 2017-11-23 |
| 1477813822 | Contemplative Counseling LLC | Clinic/Center | 304 W Chesapeake Ave, Towson, MD 21204-4405 | 2012-05-19 |
| 1255625844 | Yula Ponticas, Ph.d., P.a. | Clinic/Center | 1104 Kenilworth Dr, Suite 210, Towson, MD 21204-2101 | 2011-06-01 |
| 1366740078 | S Barbara Perry LLC | Clinic/Center | 25 W Chesapeake Ave, Towson, MD 21204-4820 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
| 1700485018 | Uplift Wellness Center | Clinic/Center | 1610 Yuhas Ct, Upper Marlboro, MD 20774-5620 | 2020-10-19 |
| 1700490562 | Denoor Healthcare Services Inc | Clinic/Center | 12123 Statewood Rd, Reisterstown, MD 21136-4709 | 2020-08-31 |
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1811519564 | Womens Healing Center LLC | Clinic/Center | 8167 Main St Ste 206, Ellicott City, MD 21043-4776 | 2020-05-15 |
| 1942821004 | Western Maryland Psychology LLC | Clinic/Center | 14407 Marsh Pike, Hagerstown, MD 21742-1647 | 2020-04-29 |
| 1295355352 | Bright Care Solutions LLC | Clinic/Center | 8702 Castlerock Ct, Laurel, MD 20723-2702 | 2020-04-19 |
| Find all providers with the same taxonomy | ||||
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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.