KOMILA BRENNAN (NPI# 1285163378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285163378 |
| Entity Type | Individual |
| Full Name | KOMILA BRENNAN |
| Credential | PHD |
| Practice Address |
9810 Patuxent Woods Dr Columbia MD 21046-1595 |
| Mailing Address |
605 W 36th St Baltimore MD 21211-2515 |
| Practice Telephone | 4439239200 |
| Mailing Telephone | 3343067219 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
06048 | MD | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
9810 PATUXENT WOODS DR |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093832180 | Sttar Center Inc | Counselor | 9810 Patuxent Woods Dr, Suite C, Columbia, MD 21046-1595 | 2007-03-23 |
| 1174009575 | Kisha Jenkins | Student in an Organized Health Care Education/Training Program | 9810 Patuxent Woods Dr, Columbia, MD 21046-1595 | 2018-07-18 |
| 1922405968 | David Tomas Cernikovsky | Student in an Organized Health Care Education/Training Program | 9810 Patuxent Woods Dr, Suite F, Columbia, MD 21046-1595 | 2014-11-19 |
| 1528468899 | Leon Mandler | Student in an Organized Health Care Education/Training Program | 9810 Patuxent Woods Dr, Columbia, MD 21046-1595 | 2014-08-24 |
| 1558508770 | Cynthia Lengrand | Social Worker | 9810 Patuxent Woods Dr, Suite C, Columbia, MD 21046-1595 | 2009-01-09 |
| 1679732986 | Raymond D Heim | Social Worker | 9810 Patuxent Woods Dr, Suite C, Columbia, MD 21046-1595 | 2008-06-03 |
| 1376735266 | Roy Justin Boyd | Counselor | 9810 Patuxent Woods Dr, Suite K, Columbia, MD 21046-1595 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235577503 | Beth Anne Newman Feldman | Psychologist | 11912 Blue February Way, Columbia, MD 21044-4416 | 2013-06-10 |
| 1205989688 | Mary Ellen Degnan | Psychologist | 108 E Green Meadows Rd Ste 5, Columbia, MO 65203-3633 | 2007-01-19 |
| 1508913542 | Arnold Stanley Block | Psychologist | 5770 Sterrett Place, Suite 106, Columbia, MD 21044 | 2007-01-04 |
| 1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
| 1932126760 | Mpb Group, Inc. | Psychologist | 9650 Santiago Rd Ste 11, Columbia, MD 21045-3960 | 2006-07-17 |
| 1053927004 | Kathryn L Marsh | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-16 |
| 1235742552 | The Bridge Therapeutic & Evaluation Services, LLC | Psychologist | 7360 Grace Dr, Columbia, MD 21044-2470 | 2020-08-26 |
| 1194213355 | Rose Maura O'donnell | Psychologist | 205 Portland St, Columbia, MO 65201-6521 | 2018-04-24 |
| 1790233666 | Kenneth M. Klebanow, M.d. & Associates, P.a. | Psychologist | 8821 Columbia 100 Pkwy, Columbia, MD 21045 | 2016-09-20 |
| 1639417157 | Emily Powell Lowell | Psychologist | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2013-01-17 |
| Find all providers in COLUMBIA | ||||
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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.