CORSICA RIVER MENTAL HEALTH SERVICE, INC. (NPI# 1639603012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639603012 |
Entity Type | Organization |
Organization Name | CORSICA RIVER MENTAL HEALTH SERVICE, INC. |
Practice Address |
332 N Main St Federalsburg MD 21632-1007 |
Mailing Address |
120 Banjo Ln Centreville MD 21617-1002 |
Practice Telephone | 4107582211 |
Mailing Telephone | 4107582211 |
Mailing Fax Number | 4107580698 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |
Authorized Official Name | MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4107583050 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939296 | Corsica River Mental Health Service, Inc. | Clinic/Center | 403 High St, Cambridge, MD 21613-1804 | 2020-07-15 |
1578171286 | Corsica River Mental Health Service, Inc. | Clinic/Center | 403 High St, Cambridge, MD 21613-1804 | 2020-07-20 |
1437683430 | Corsica River Mental Health Service, Inc. | Clinic/Center | 332 N Main St, Federalsburg, MD 21632-1007 | 2017-04-17 |
Street Address |
332 N MAIN ST |
City | FEDERALSBURG |
State | MD |
Zip Code | 21632-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437683430 | Corsica River Mental Health Service, Inc. | Clinic/Center | 332 N Main St, Federalsburg, MD 21632-1007 | 2017-04-17 |
1760937197 | Caroline Counseling Center | Community/Behavioral Health | 332 N Main St, Federalsburg, MD 21632-1007 | 2016-08-15 |
1831574540 | Caroline County Mental Health | Community/Behavioral Health | 332 N Main St, Federalsburg, MD 21632-1007 | 2015-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427270529 | John William Hawkins | Dentist | 319 North Main St, Federalsburg, MD 21632 | 2007-05-02 |
1699897884 | Lisa May | Social Worker | 27203 Chipmans Ln, Federalsburg, MD 21632 | 2007-04-06 |
1306157508 | Jennifer Beare Ketterman | Nurse Practitioner | 3304 Hayman Dr, Federalsburg, MD 21632 | 2010-06-23 |
1083750939 | Bonnie L Dove | Dental Hygienist | 215 Bloomingdale Ave, Federalsburg, MD 21632 | 2007-01-29 |
1780659730 | Maria Cristina Alarcon | Dentist | 215 Bloomingdale Ave, Federalsburg, MD 21632 | 2006-02-22 |
1881701993 | John P Sloan | Dentist | 112 Morris Ave, Federalsburg, MD 21632-1001 | 2006-08-24 |
1760473953 | Roslyn Roxanne Robinson-kellum | Dentist | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 | 2005-11-04 |
1992332399 | Surbhi Gupta | Student in an Organized Health Care Education/Training Program | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 | 2020-03-25 |
1982231635 | Mackenzie Darlene Collier | Dental Hygienist | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 | 2020-03-24 |
1295367878 | Beth Diane Laramore | Nurse Practitioner | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 | 2020-02-11 |
Find all providers in zip 21632 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
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1700490562 | Denoor Healthcare Services Inc | Clinic/Center | 12123 Statewood Rd, Reisterstown, MD 21136-4709 | 2020-08-31 |
1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
1811519564 | Womens Healing Center LLC | Clinic/Center | 8167 Main St Ste 206, Ellicott City, MD 21043-4776 | 2020-05-15 |
1942821004 | Western Maryland Psychology LLC | Clinic/Center | 14407 Marsh Pike, Hagerstown, MD 21742-1647 | 2020-04-29 |
1295355352 | Bright Care Solutions LLC | Clinic/Center | 8702 Castlerock Ct, Laurel, MD 20723-2702 | 2020-04-19 |
Find all providers with the same taxonomy |
City | FEDERALSBURG |
Zip Code | 21632 |
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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.