GREEN RIDGE BEHAVIORAL HEALTH, LLC (NPI# 1609283050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609283050 |
| Entity Type | Organization |
| Organization Name | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
| Practice Address |
5216 Chairmans Court Suite 102 Frederick MD 21703 |
| Mailing Address |
610 Professional Drive Gaithersburg MD 20897 |
| Practice Telephone | 2406836202 |
| Practice Fax Number | 2406836203 |
| Mailing Telephone | 2406836202 |
| Mailing Fax Number | 2406836203 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | NARAYANAN RAMESH (PARTNER) |
| Authorized Official Telephone | 2406836202 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D0056459 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285041616 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 12073 Tech Rd, Suite A, Silver Spring, MD 20904 | 2014-07-17 |
| 1407088339 | Green Ridge Behavioral Health, LLC | Social Worker | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3413 | 2009-08-11 |
| Street Address |
5216 CHAIRMANS COURT SUITE 102 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| 1982711933 | Trevor Johnson | Physical Therapist | 610 Solarex Court, Frederick, MD 21703 | 2006-08-24 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777210 | Progressive Neurology LLC | Psychiatry & Neurology | 2405 Whittier Dr Unit 100, Frederick, MD 21702-3361 | 2019-12-20 |
| 1811121304 | Natalia Maria Llanes | Psychiatry & Neurology | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2009-05-12 |
| 1912180258 | Mid Maryland Neurology, Pa | Psychiatry & Neurology | 172 Thomas Johnson Dr, 202, Frederick, MD 21702-4402 | 2007-12-10 |
| 1982814224 | Zakiya J Wynn | Psychiatry & Neurology | 174 Thomas Johnson Dr, Ste 100, Frederick, MD 21702-4423 | 2007-05-23 |
| 1932326592 | Frederick Neurology LLC | Psychiatry & Neurology | 187 Thomas Johnson Dr, Suite #3, Frederick, MD 21702-4503 | 2007-04-18 |
| 1205950045 | Salam Zughayer | Psychiatry & Neurology | 174 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4423 | 2007-03-19 |
| 1942381355 | Camilo Toro | Psychiatry & Neurology | 187 Thomas Johnson Dr, Suite #3, Frederick, MD 21702-4503 | 2006-10-19 |
| 1235176769 | Ernest Claude Clevinger Jr. | Psychiatry & Neurology | 174 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4423 | 2006-06-01 |
| 1346203106 | Albert J Martins | Psychiatry & Neurology | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2006-04-11 |
| 1164429429 | Richard T Leschek | Psychiatry & Neurology | 172 Thomas Johnson Dr, 202, Frederick, MD 21702-4402 | 2005-07-01 |
| Find all providers in FREDERICK | ||||
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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.