YULA PONTICAS, PH.D., P.A. (NPI# 1255625844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255625844 |
| Entity Type | Organization |
| Organization Name | YULA PONTICAS, PH.D., P.A. |
| Practice Address |
1104 Kenilworth Dr Suite 210 Towson MD 21204-2101 |
| Practice Telephone | 4108288824 |
| Practice Fax Number | 4108288823 |
| Mailing Telephone | 4108288824 |
| Mailing Fax Number | 4108288823 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. YULA PONTICAS (PRESIDENT) |
| Authorized Official Telephone | 4108288824 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
02426 | MD | Ambulatory Health Care Facilities |
| Street Address |
1104 KENILWORTH DR SUITE 210 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841240470 | Stanley Joseph Miller | Dermatology | 1104 Kenilworth Dr, Ste 201, Towson, MD 21204-2101 | 2006-05-12 |
| 1366727034 | Eric J Lane Psy D Pa | Clinic/Center | 1104 Kenilworth Dr, Suite 302, Towson, MD 21204-2101 | 2011-10-13 |
| 1548558158 | Melody D Ward | Dentist | 1104 Kenilworth Dr, Suite #102, Towson, MD 21204-2101 | 2011-07-17 |
| 1730485715 | Devon Byrne Conklin | Dentist | 1104 Kenilworth Dr, Suite 102, Towson, MD 21204-2101 | 2011-02-08 |
| 1912202094 | Anthony J. Kameen M D P A | Ophthalmology | 1104 Kenilworth Dr, Suite 200, Towson, MD 21204-2101 | 2011-01-20 |
| 1326162025 | Christine Garwood | Social Worker | 1104 Kenilworth Dr, Suite 210, Towson, MD 21204-2101 | 2007-03-19 |
| 1376678482 | Keith A. Boenning | Dentist | 1104 Kenilworth Dr, Suite 104, Towson, MD 21204-2101 | 2007-02-22 |
| 1821130246 | Stanley J Miller Md Pa | Specialist | 1104 Kenilworth Dr, Ste 201, Towson, MD 21204-2101 | 2007-02-13 |
| 1801952346 | Kenilworth Surgery Center LLC | Surgery | 1104 Kenilworth Dr, Ste 201, Towson, MD 21204 | 2006-12-29 |
| 1194807727 | Anthony Kameen Jr. | Ophthalmology | 1104 Kenilworth Dr, Suite 400, Towson, MD 21204-2101 | 2006-10-20 |
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| 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 |
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| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
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| 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] |
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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.