JENNIFER LAUREN METTLEN (NPI# 1437352036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437352036 |
Entity Type | Individual |
Full Name | JENNIFER LAUREN METTLEN |
Credential | MD |
Practice Address |
13218 Brooklane Dr Hagerstown MD 21742-1435 |
Practice Telephone | 3017330330 |
Practice Fax Number | 3017334038 |
Mailing Telephone | 3017330330 |
Mailing Fax Number | 3017334038 |
Enumeration Date | 2007-06-09 |
Last Update Date | 2012-09-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D74634 | MD | Allopathic & Osteopathic Physicians |
Street Address |
13218 BROOKLANE DR |
City | HAGERSTOWN |
State | MD |
Zip Code | 21742-1435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932198637 | Diane Kay Lewis | Social Worker | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2005-10-17 |
1760933238 | First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2016-10-20 |
1740668573 | Daksha Patel Md LLC | Psychiatry & Neurology | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2015-05-13 |
1801224779 | Leslie Henriquez | Social Worker | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2013-10-31 |
1245663913 | Meaghan S Castle | Social Worker | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2013-08-16 |
1467892968 | Rebecca Mcclean | Counselor | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2013-06-28 |
1619269743 | Sando Sherman Adetunji | Social Worker | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2011-05-09 |
1386934941 | Tomi L Gelsinger | Licensed Practical Nurse | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2011-04-15 |
1578861589 | Heather Lyn Creek | Counselor | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2011-03-01 |
1538480207 | Alice Wilson | Social Worker | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2010-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
Find all providers in zip 21742 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174549992 | Ira Sanders Lourie | Psychiatry & Neurology | 18902 Preston Rd, Hagerstown, MD 21742-2712 | 2006-07-14 |
1922070986 | Corriene V Kurz | Psychiatry & Neurology | 13218 Brooklane Drive, Hagerstown, MD 21742-1945 | 2006-02-03 |
1427020478 | Valerie Relacion | Psychiatry & Neurology | 13218 Brook Lane Drive, Hagerstown, MD 21742-1945 | 2006-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
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City | HAGERSTOWN |
Zip Code | 21742 |
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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.