MOSAIC COMMUNITY SERVICES (NPI# 1669632147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669632147 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES |
| Practice Address |
288 E Green St Westminster MD 21157-5410 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4108763007 |
| Practice Fax Number | 4107517797 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4103088926 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MR. JEFF RICHARDSON (CEO) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 159380304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205014818 | Mosaic Community Services | Clinic/Center | 27 Mellor Ave, Catonsville, MD 21228-5106 | 2008-02-06 |
| 1932386257 | Mosaic Community Services | Clinic/Center | 20 Winters Ln, Catonsville, MD 21228-4432 | 2008-01-29 |
| 1528229283 | Mosaic Community Services | Clinic/Center | 9201 Philadelphia Rd, Rosedale, MD 21237 | 2008-06-24 |
| 1003076258 | Mosaic Community Services | Community/Behavioral Health | 288 E Green St, Westminster, MD 21157-5410 | 2008-06-11 |
| 1255509493 | Mosaic Community Services | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2008-02-11 |
| 1235317884 | Mosaic Community Services | Clinic/Center | 5 Bloomsbury Ave, Catonsville, MD 21228-4641 | 2008-02-06 |
| 1063699395 | Mosaic Community Services | Clinic/Center | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2008-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC COMMUNITY SERVICES, INC. | 2010 Groton Rd, Pocomoke City, MD 21851-2802 |
| Street Address |
288 E GREEN ST |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067438 | Yusuke Sagawa | Psychiatry & Neurology | 288 E Green St, Westminster, MD 21157-5410 | 2006-03-22 |
| 1649871435 | Kourtney Green | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2020-11-06 |
| 1306467428 | Medly Baltimore Inc. | Pharmacy | 288 E Green St, Westminster, MD 21157-5410 | 2020-04-29 |
| 1114564143 | Mosaic Community Services, Inc | Clinic/Center | 288 E Green St, Westminster, MD 21157-5410 | 2019-12-10 |
| 1225564552 | Kyle Vincent Shuman | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2017-05-05 |
| 1841747987 | Krystin Bartynski | Social Worker | 288 E Green St, Westminster, MD 21157-5410 | 2016-09-07 |
| 1871965871 | Mosaic Community Services, Inc. | Clinic/Center | 288 E Green St, Westminster, MD 21157-5410 | 2015-10-29 |
| 1932455888 | Carlie Belt | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2012-07-30 |
| 1295006906 | Whitney Thompson | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2012-01-26 |
| 1699045567 | Susan Alberta Vanderhoff | Social Worker | 288 E Green St, Westminster, MD 21157-5410 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912513 | Hilda's Place Behavioral Health Organization | Clinic/Center | 684 Poole Rd, Westminster, MD 21157-6171 | 2020-05-04 |
| 1982869244 | Associated Catholic Charities | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2008-07-25 |
| 1871669721 | Carroll County Youth Service Bureau, Inc. | Clinic/Center | 59 Kate Wagner Rd., Westminster, MD 21157 | 2006-11-24 |
| 1558831602 | Quest Counseling Services LLC | Clinic/Center | 8461 Turnpike Dr Ste 207, Westminster, CO 80031-4379 | 2018-12-02 |
| 1194220467 | Family and Childrens Services of Central Maryland Inc | Clinic/Center | 22 N Court St, Westminster, MD 21157-5110 | 2018-03-28 |
| 1659800142 | Access Carroll, Inc. | Clinic/Center | 10 Distillery Rd Ste 200, Westminster, MD 21157-5344 | 2017-06-08 |
| 1770980245 | Genesis Treatment Services | Clinic/Center | 1106 Business Pkwy S, Ste B, Westminster, MD 21157-3054 | 2014-12-01 |
| 1104188986 | Associated Catholic Charities, Inc | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2012-06-08 |
| 1679860381 | Carroll County Youth Service Bureau Inc: Court Street Services | Clinic/Center | 98 N Court St, Westminster, MD 21157-9300 | 2011-07-01 |
| 1124322342 | Associated Catholic Charities, Inc | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2011-01-03 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on MOSAIC COMMUNITY SERVICES.
| 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.