AFFILIATED SANTE GROUP (NPI# 1487983102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487983102 |
| Entity Type | Organization |
| Organization Name | AFFILIATED SANTE GROUP |
| Practice Address |
4355 Nicole Dr Lanham MD 20706-4349 |
| Mailing Address |
12200 Tech Rd Ste 330 Silver Spring MD 20904-1913 |
| Practice Telephone | 3014292171 |
| Practice Fax Number | 3014292180 |
| Mailing Telephone | 3015726585 |
| Mailing Fax Number | 3015725062 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | STEVEN SAHM (BILLING MANAGER) |
| Authorized Official Telephone | 3015726585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083720569 | Affiliated Sante Group | Clinic/Center | 1400 Spring St Ste 100, Silver Spring, MD 20910-2751 | 2006-08-21 |
| 1588045959 | Affiliated Sante Group | Counselor | 7610 Pennsylvania Ave, Suite 203, Forestville, MD 20747-4701 | 2015-06-11 |
| 1013348267 | Affiliated Sante Group | Psychologist | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2013-12-12 |
| 1538427208 | Affiliated Sante Group | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2012-05-01 |
| 1962716852 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-08-03 |
| 1780998096 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-07-28 |
| 1316262595 | Affiliated Sante Group | Health Maintenance Organization | 1205 York Rd, Suite 29, Timonium, MD 21093-6210 | 2010-03-31 |
| 1528383700 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-03-31 |
| 1205165545 | Affiliated Sante Group | Day Training, Developmentally Disabled Services | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-16 |
| 1043485089 | Affiliated Sante Group | Counselor | 1400 Spring St Ste 100, Silver Spring, MD 20910-2751 | 2008-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AFFILIATED SANTE GROUP | 12200 Tech Rd. Suite 330, Silver Spring, MD 20904-1913 |
| Street Address |
4355 NICOLE DR |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348267 | Affiliated Sante Group | Psychologist | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2013-12-12 |
| 1205165545 | Affiliated Sante Group | Day Training, Developmentally Disabled Services | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| 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 |
|---|---|---|---|---|
| 1568080919 | Kathleen Young & Associates LLC | Community/Behavioral Health | 4200 Forbes Blvd Ste 104, Lanham, MD 20706-4872 | 2020-07-13 |
| 1659918522 | Family Services, Inc. | Community/Behavioral Health | 7401 Forbes Blvd Ste F, Lanham, MD 20706-2261 | 2019-12-10 |
| 1518504067 | Allen-ayuk Behavioral Health Center | Community/Behavioral Health | 7404 Executive Pl Ste 420, Lanham, MD 20706-2268 | 2019-12-03 |
| 1891278610 | Win Team, LLC | Community/Behavioral Health | 10001 Derekwood Ln Ste 210, Lanham, MD 20706-4865 | 2018-09-07 |
| 1265954226 | Community Therapeutic Center,inc | Community/Behavioral Health | 4640 Forbes Blvd Ste 310, Lanham, MD 20706-4889 | 2017-07-12 |
| 1023544285 | Mentor-maryland | Community/Behavioral Health | 4200 Forbes Boulevard, Suite 100, Lanham, MD 20706 | 2017-05-10 |
| 1720442684 | Btst Services LLC | Community/Behavioral Health | 4303 Forbes Blvd, Lanham, MD 20706-4333 | 2016-04-07 |
| 1396080594 | Btst Services LLC | Community/Behavioral Health | 9701 Philadelphia Ct, Suite R, Lanham, MD 20706-4400 | 2012-11-29 |
| 1639443963 | Family Advocacy Network, Inc. | Community/Behavioral Health | 8601 Martin Luther King Jr Hwy Ste 4, Lanham, MD 20706-1560 | 2012-03-05 |
| 1144592908 | Regenerations Counseling Services Inc | Community/Behavioral Health | 4600 Forbes Blvd, Suite 202, Lanham, MD 20706-4312 | 2012-02-08 |
| Find all providers in LANHAM | ||||
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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.