MIND OVER MATTER HEALTH SERVICES (NPI# 1417473588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417473588 |
| Entity Type | Organization |
| Organization Name | MIND OVER MATTER HEALTH SERVICES |
| Practice Address |
616 Old Edmondson Ave Ste 4 Catonsville MD 21228-3312 |
| Mailing Address |
2001 Fitzwarren Pl Apt T1 Baltimore MD 21209-4956 |
| Practice Telephone | 4434051095 |
| Mailing Telephone | 4109821353 |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |
| Authorized Official Name | ASIA JOHNSON (CEO) |
| Authorized Official Telephone | 4109821353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN | 600017382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191223 | Mind Over Matter Health Services | Community/Behavioral Health | 616 Old Edmondson Ave, Catonsville, MD 21228-3312 | 2017-08-24 |
| 1003264243 | Mind Over Matter Health Services | Community/Behavioral Health | 7700 Old Branch Ave, B204, Clinton, MD 20735-1628 | 2016-05-27 |
| 1447682745 | Mind Over Matter Health Services | Community/Behavioral Health | 7700 Old Branch Ave, #b204, Clinton, MD 20735 | 2013-08-08 |
| Street Address |
616 OLD EDMONDSON AVE STE 4 |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| 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 |
|---|---|---|---|---|
| 1386119527 | Transitioning and Uplifting Inc. | Community/Behavioral Health | 1029 Ingleside Ave, Catonsville, MD 21228-1318 | 2018-10-03 |
| 1033624515 | Key Point Health Services, Inc | Community/Behavioral Health | 516 N Rolling Rd Ste 104, Catonsville, MD 21228-4141 | 2017-12-06 |
| 1689191223 | Mind Over Matter Health Services | Community/Behavioral Health | 616 Old Edmondson Ave, Catonsville, MD 21228-3312 | 2017-08-24 |
| 1578963468 | The Resilient Life Counseling & Wellness Center | Community/Behavioral Health | 2 E Rolling Crossroads Ste 157, Catonsville, MD 21228-6213 | 2014-08-27 |
| 1679801070 | Little Red Car Aba Services, LLC | Community/Behavioral Health | 1603 Edmondson Ave, Suite 200, Catonsville, MD 21228-4960 | 2009-11-23 |
| 1346410495 | The Childrens Home | Community/Behavioral Health | 205 Bloomsbury Ave, Catonsville, MD 21228-0000 | 2008-03-05 |
| 1467067066 | Envision Health and Wellness | Community/Behavioral Health | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-09-10 |
| 1144883141 | Zion Health Systems, LLC | Community/Behavioral Health | 516 N Rolling Rd Ste 305, Catonsville, MD 21228-4142 | 2019-04-16 |
| 1801371752 | Key Point Health Services, Inc | Community/Behavioral Health | 516 N Rolling Rd Ste 104, Catonsville, MD 21228-4141 | 2018-09-26 |
| 1942789029 | Your Heart's Desire Therapy & Wellness, LLC | Community/Behavioral Health | 516 N Rolling Rd Ste 305, Catonsville, MD 21228-4142 | 2018-08-09 |
| Find all providers in CATONSVILLE | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on MIND OVER MATTER HEALTH SERVICES.
| 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.