MALAKA CASTLE (NPI# 1659874527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659874527 |
Entity Type | Individual |
Full Name | MALAKA CASTLE |
Practice Address |
915 Toll House Ave Ste 102 Frederick MD 21701-5911 |
Practice Telephone | 2405751324 |
Enumeration Date | 2018-03-16 |
Last Update Date | 2018-03-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LGP8088 | MD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 423962801 | 05 |
Street Address |
915 TOLL HOUSE AVE STE 102 |
City | FREDERICK |
State | MD |
Zip Code | 21701-5911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518584143 | Outreach Recovery II, LLC | Counselor | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2020-06-30 |
1265077309 | Outreach Recovery II, LLC | Counselor | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2019-11-13 |
1336614536 | Main Place Treatment Centers LLC. | Clinic/Center | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2018-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
Find all providers in zip 21701 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
1164032942 | Charles Lee Jenkins Jr. | Counselor | 4705 Verdana Loop, Frederick, MD 21703-2733 | 2020-08-05 |
1942827951 | Cruzan Homestead | Counselor | 5305 Jefferson Pike Ste C7, Frederick, MD 21703-6982 | 2020-06-26 |
1265053243 | Careapy, LLC | Counselor | 5104 Pegasus Ct Ste B, Frederick, MD 21704-8323 | 2020-05-01 |
1720620792 | Christine Suhler | Counselor | 3522 Worthington Blvd Unit 201, Frederick, MD 21704-7049 | 2019-10-11 |
1093364499 | Safrianna Alyssa Marie Degroat | Counselor | 122 E Patrick St # 108, Frederick, MD 21701-5630 | 2019-09-09 |
1376024935 | Meghan Elizabeth Harrington-patton | Counselor | 7602 Irongate Ln, Frederick, MD 21702-3562 | 2018-08-22 |
1639665995 | Ryan Defibaugh | Counselor | 8006 Broken Reed Ct, Frederick, MD 21701-3279 | 2018-07-10 |
1487184826 | Hughescounselingservices LLC | Counselor | 201a Broadway St, Frederick, MD 21701-6561 | 2017-06-18 |
1144778572 | Julio Alfredo Orozco | Counselor | 6110 Cool Spring Ter S, Frederick, MD 21701-5803 | 2016-09-14 |
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.