DR. MARIO EDUARDO PRUSS (NPI# 1275694028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275694028 |
| Entity Type | Individual |
| Full Name | DR. MARIO EDUARDO PRUSS |
| Credential | M.D. |
| Practice Address |
9650 Santiago Rd Suite 11 Columbia MD 21045-3957 |
| Practice Telephone | 4107302385 |
| Mailing Telephone | 4107302385 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | D0045248 | MD | Agencies |
| Street Address |
9650 SANTIAGO RD SUITE 11 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548273162 | Christian Counseling Associates, Inc. | Counselor | 9650 Santiago Rd, Suite 101, Columbia, MD 21045-3957 | 2006-08-14 |
| 1225677784 | Community Behavioral Health, LLC | Community/Behavioral Health | 9650 Santiago Rd, Columbia, MD 21045-3957 | 2020-01-02 |
| 1881116952 | Amber Demarr Flynn | Counselor | 9650 Santiago Rd, Columbia, MD 21045-3957 | 2017-07-11 |
| 1083153019 | Community Behavioral Health | Community/Behavioral Health | 9650 Santiago Rd, Columbia, MD 21045-3957 | 2017-02-23 |
| 1356880389 | Community Behavioral Health | Community/Behavioral Health | 9650 Santiago Rd, Columbia, MD 21045-3957 | 2017-02-23 |
| 1710333901 | Specialtyrxmd LLC | Pharmacy | 9650 Santiago Rd, St#8, Columbia, MD 21045-3957 | 2016-05-06 |
| 1346688868 | Sahil Goyal Dmd LLC | Dentist | 9650 Santiago Rd, Suite 104, Columbia, MD 21045-3957 | 2013-06-06 |
| 1841549797 | Anshu Goyal | Dentist | 9650 Santiago Rd, Suite 104, Columbia, MD 21045-3957 | 2012-09-06 |
| 1194089839 | Julie Seligson Shields | Psychologist | 9650 Santiago Rd, Suite 3, Columbia, MD 21045-3957 | 2012-06-27 |
| 1083901128 | Levi Y. Breuer, Psy.d. | Community/Behavioral Health | 9650 Santiago Rd, Suite 3, Columbia, MD 21045-3957 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1518513795 | Carolina Family Wellness Clinic, LLC | Community/Behavioral Health | 9153 Two Notch Rd Ste 6, Columbia, SC 29223-5852 | 2019-08-14 |
| 1073174033 | David Hill Consultants, LLC | Community/Behavioral Health | 1818 Pulaski St, Columbia, SC 29201-2381 | 2019-06-21 |
| 1760943005 | Goodecounsel, LLC. | Community/Behavioral Health | 235 Village Walk, Columbia, SC 29209-2166 | 2019-03-28 |
| 1932672961 | Sunshine Counseling Lc | Community/Behavioral Health | 302 Hampton Forest Dr, Columbia, SC 29209-2572 | 2019-01-02 |
| 1285125757 | Carolina Counseling Consultants | Community/Behavioral Health | 7356 Garners Ferry Rd Ste 112, Columbia, SC 29209-2146 | 2018-05-21 |
| 1114414125 | Teal Fire Counseling & Consulting, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy Ste 343, Columbia, MD 21044-6239 | 2018-04-16 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on DR. MARIO EDUARDO PRUSS.
| 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.