GREENBROOK TMS SOUTHERN MARYLAND, LLC (NPI# 1528542107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528542107 |
| Entity Type | Organization |
| Organization Name | GREENBROOK TMS SOUTHERN MARYLAND, LLC |
| Practice Address |
3825 Leonardtown Rd Ste 8 Waldorf MD 20601-3693 |
| Practice Telephone | 3017101598 |
| Mailing Telephone | 3017101598 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | EGAN PRATT (REGIONAL MANAGER) |
| Authorized Official Telephone | 3018011472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3825 LEONARDTOWN RD STE 8 |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-3693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639663 | Holistic Treatment Center | Clinic/Center | 3050 Crain Hwy Ste 200, Waldorf, MD 20601-2822 | 2017-06-15 |
| 1073610127 | Asthma Allergy and Sinus Center, LLC | Clinic/Center | 3600 Leonardtown Road, Suite 103, Waldorf, MD 20601 | 2006-09-20 |
| 1053959411 | Nugahealth Primary Care LLC | Clinic/Center | 11636 Port Royal Ave, Waldorf, MD 20602-5193 | 2019-12-17 |
| 1881107282 | Ideal Telemedicine Services, LLC | Clinic/Center | 11355 Pembrooke Sq Ste 108, Waldorf, MD 20603-4805 | 2017-11-08 |
| 1588182901 | Ideal Option, Pllc | Clinic/Center | 11355 Pembrooke Sq Ste 108, Waldorf, MD 20603-4805 | 2017-09-06 |
| 1871874859 | Eze Family Health Center, Inc. | Clinic/Center | 11750 Business Park Dr, Suite 103, Waldorf, MD 20601-2907 | 2011-09-02 |
| 1316106057 | John Charles Akoda | Clinic/Center | 3013 Kaspar Ct, Waldorf, MD 20603-5705 | 2008-06-06 |
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| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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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.