MELISSA ERIN TREVATHAN (NPI# 1376823369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376823369 |
| Entity Type | Individual |
| Full Name | MELISSA ERIN TREVATHAN |
| Other Name | MELISSA ERIN TREVATHAN-MINNIS |
| Credential | PHD |
| Practice Address |
5209 York Rd Ste B12 Baltimore MD 21212-4245 |
| Mailing Address |
2200 E Lombard St Baltimore MD 21231-2021 |
| Practice Telephone | 4105322476 |
| Mailing Telephone | 2819237308 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
5209 YORK RD STE B12 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381727 | Briana Sutton | Counselor | 5209 York Rd Ste B12, Baltimore, MD 21212-4245 | 2020-03-18 |
| 1588128847 | Denise Hesselton | Social Worker | 5209 York Rd Ste B12, Baltimore, MD 21212-4245 | 2019-01-30 |
| 1538691456 | Octavia Sykes | Social Worker | 5209 York Rd Ste B12, Baltimore, MD 21212-4245 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255718821 | Kimberly M. Ewing | Psychologist | 711 W 40th St Ste 324, Baltimore, MD 21211-2109 | 2015-05-02 |
| 1649554601 | Laura Anderson | Psychologist | 701 W Pratt St Fl 2, Univ of Maryland Adult Outpatient Psychiatry, Baltimore, MD 21201-1023 | 2011-10-07 |
| 1871881037 | Catherine Mary Sullivan-windt | Psychologist | 600 Wyndhurst Ave Ste 307a, Baltimore, MD 21210-2419 | 2011-07-21 |
| 1922156009 | Thomas T. Truss, Phd, PC | Psychologist | 200 S President St, Suite 403, Baltimore, MD 21202-4462 | 2007-01-08 |
| 1629186366 | Harvey Brown | Psychologist | 735 S Ann St, Baltimore, MD 21231-3402 | 2006-08-25 |
| 1720091044 | North Baltimore Center, Inc | Psychologist | 2225 N. Charles Street, Baltimore, MD 21218 | 2006-08-15 |
| 1770194169 | Malouf Counseling and Consulting LLC | Psychologist | 4800 Roland Ave Ste 301, Baltimore, MD 21210-2347 | 2020-08-11 |
| 1255959508 | Iesha Faison | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-13 |
| 1710521216 | Catherine Sullivan-windt Ph.d., LLC | Psychologist | 600 Wyndhurst Ave Ste 307a, Baltimore, MD 21210-2419 | 2019-10-29 |
| 1073002762 | Bk Behavioral Health Center | Psychologist | 1805 Pennsylvania Ave., Suite 102, Baltimore, MD 21217-4958 | 2018-05-08 |
| Find all providers in BALTIMORE | ||||
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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.