PATRICE ANDERSON (NPI# 1265079875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265079875 |
| Entity Type | Individual |
| Full Name | PATRICE ANDERSON |
| Credential | BSW |
| Practice Address |
9755 Mill Centre Dr Apt 529 Owings Mills MD 21117-3981 |
| Practice Telephone | 4438046345 |
| Mailing Telephone | 4438046345 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | IRS | 83-3371600 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003119 | Patrice Nicole Anderson | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2019-10-04 |
| 1033682315 | Patrice Anderson | Social Worker | 3400 N 29th Avenue, Hollywood, FL 33020 | 2019-01-09 |
| 1336430107 | Patrice Lynn Anderson | Surgery | 100 Woods Rd, N/a, Valhalla, NY 10595-1530 | 2011-04-27 |
| 1699963470 | Patrice Shondelle Anderson | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2007-10-05 |
| Street Address |
9755 MILL CENTRE DR APT 529 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| 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 |
|---|---|---|---|---|
| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1588217152 | Christopher Joseph Jones | Community/Behavioral Health | 10201 Grand Central Ave Apt 319, Owings Mills, MD 21117-3997 | 2019-07-22 |
| 1679053516 | Rak Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 117a, Owings Mills, MD 21117-4920 | 2018-08-20 |
| 1306330675 | Serendipity Healthcare, Incororated | Community/Behavioral Health | 110 Painters Mill Rd Ste 207, Owings Mills, MD 21117-5251 | 2018-06-19 |
| 1568971695 | Amara House LLC | Community/Behavioral Health | 4557 Hidden Stream Ct, Owings Mills, MD 21117-4837 | 2017-09-20 |
| 1841721099 | Time Organization Enterprises, Inc. | Community/Behavioral Health | 10055 Red Run Blvd, Suite 120, Owings Mills, MD 21117-4892 | 2017-03-21 |
| 1003182551 | Simply Living Blessed, LLC | Community/Behavioral Health | 23 Timber Grove Rd, Owings Mills, MD 21117-1820 | 2012-03-29 |
| 1184261448 | Jewish Community Services, Inc. | Community/Behavioral Health | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 | 2019-12-05 |
| 1942706346 | Gifts LLC | Community/Behavioral Health | 20 Crossroads Dr Ste 105, Owings Mills, MD 21117-5480 | 2018-04-04 |
| 1568973691 | Solutions for Families Md, LLC | Community/Behavioral Health | 10451 Mill Run Cir Ste 400, Owings Mills, MD 21117-5594 | 2017-10-16 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
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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.