COMMUNITY THERAPEUTIC CENTER,INC (NPI# 1265954226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265954226 |
| Entity Type | Organization |
| Organization Name | COMMUNITY THERAPEUTIC CENTER,INC |
| Other Organization Name | COMMUNITY THERAPEUTIC CENTER |
| Practice Address |
4640 Forbes Blvd Ste 310 Lanham MD 20706-4889 |
| Mailing Address |
4640 Forbes Blvd Lanham MD 20706-4323 |
| Practice Telephone | 2407645133 |
| Practice Fax Number | 2404876954 |
| Mailing Telephone | 2407645133 |
| Mailing Fax Number | 2407648897 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | MR. EMMANUEL OLUFEMI OWOOJE (PRESIDENT) |
| Authorized Official Telephone | 2407645133 |
| Authorized Official Credential | NURSE |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY THERAPEUTIC CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | MD | Agencies | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 411385300 | 05 |
| Other Name | Type Code |
|---|---|
| community therapeutic center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348635 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd, Lanham, MD 20706-4323 | 2019-10-25 |
| 1548803893 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd, Lanham, MD 20706-4323 | 2019-10-18 |
| 1922641307 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-10-18 |
| 1417416694 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-03-18 |
| Street Address |
4640 FORBES BLVD STE 310 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641307 | Community Therapeutic Center,inc | Counselor | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-10-18 |
| 1427611284 | Genesis Pediatrics of Maryland,inc. | Pediatrics | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-04-17 |
| 1417416694 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| 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 |
|---|---|---|---|---|
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1528554367 | You First Health Systems, LLC | Clinic/Center | 4325 Forbes Blvd Ste E, Lanham, MD 20706-4856 | 2018-07-05 |
| 1386242006 | Abreast Therapeutic Center Inc | Clinic/Center | 9420 Annapolis Rd Ste 212, Lanham, MD 20706-3066 | 2020-10-14 |
| 1417416694 | Community Therapeutic Center,inc | Clinic/Center | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2019-03-18 |
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| 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.