GEMINI HEALTH HOLDINGS LLC (NPI# 1487280087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487280087 |
| Entity Type | Organization |
| Organization Name | GEMINI HEALTH HOLDINGS LLC |
| Practice Address |
1704 Back Acre Cir Mount Airy MD 21771-7768 |
| Mailing Address |
2702 Back Acre Cir Ste 290b2702 Mount Airy MD 21771-7769 |
| Practice Telephone | 3017038767 |
| Practice Fax Number | 3017038886 |
| Mailing Telephone | 3017038767 |
| Mailing Fax Number | 3017038886 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | STACI POWELL (MANAGER) |
| Authorized Official Telephone | 3017068767 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1487280152 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-13 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
| 1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
| Street Address |
1704 BACK ACRE CIR |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-7768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977268 | Gift 2 Uplift 2 Inc | Psychologist | 3325 Prince Edward Dr, White Plains, MD 20695-3448 | 2020-03-23 |
| 1225677883 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 204, Baltimore, MD 21202-4736 | 2019-12-31 |
| 1659815587 | Eddie Freeman | Psychologist | 880 W Lombard St, Baltimore, MD 21201-1057 | 2016-12-12 |
| 1699012252 | Murugi Wa Mungai | Psychologist | 4914 Good Hours Pl, Columbia, MD 21044-1508 | 2013-01-15 |
| 1265716138 | Towson Addictions Center | Psychologist | 102 W Pennsylvania Ave Ste 306, Towson, MD 21204-4543 | 2011-10-10 |
| 1710284344 | Emily Massey | Psychologist | 222 Courthouse Ct, Suite 2d, Towson, MD 21204-1828 | 2011-02-17 |
| 1427292507 | North Baltimore Center, Inc | Psychologist | 2225 N Charles Steet, Baltimore City, MD 21218 | 2009-04-21 |
| 1750559654 | Sheila Mary Harron | Psychologist | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2008-02-13 |
| 1700931177 | Insight Treatment Services | Psychologist | 4920 Niagara Rd, Ste 101, College Park, MD 20740-1110 | 2007-01-24 |
| 1932269610 | Sidney Shankman | Psychologist | 1001 Spring Street, Suite 217, Silver Spring, MD 20910-4016 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
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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.