WARWICK MANOR BEHAVIORAL HEALTH, INC. (NPI# 1669648390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669648390 |
| Entity Type | Organization |
| Organization Name | WARWICK MANOR BEHAVIORAL HEALTH, INC. |
| Practice Address |
3680 Warwick Rd East New Market MD 21631-1420 |
| Practice Telephone | 8003446423 |
| Practice Fax Number | 4109433976 |
| Mailing Telephone | 8003446423 |
| Mailing Fax Number | 4109433976 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | PHYLISS JOHNSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 18003446423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 15773 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 631501100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043369994 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3959 Baker Rd, East New Market, MD 21631-1435 | 2007-01-09 |
| 1467501544 | Warwick Manor Behavioral Health, Inc. | Counselor | 220a E Main St, Salisbury, MD 21801-4923 | 2007-01-09 |
| 1487691721 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2006-06-02 |
| 1194245431 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2017-06-27 |
| 1366849903 | Warwick Manor Behavioral Health, Inc. | Clinic/Center | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2014-11-25 |
| 1225212087 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2007-12-28 |
| 1124202221 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2007-12-26 |
| Street Address |
3680 WARWICK RD |
| City | EAST NEW MARKET |
| State | MD |
| Zip Code | 21631-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487691721 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2006-06-02 |
| 1457814212 | Colleen White | Social Worker | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2019-04-09 |
| 1386114197 | Amy Lynn Conneely | Social Worker | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2018-12-05 |
| 1194245431 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2017-06-27 |
| 1366849903 | Warwick Manor Behavioral Health, Inc. | Clinic/Center | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2014-11-25 |
| 1649602558 | Michelle Ann Purdham | Registered Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-08-01 |
| 1003259151 | Sherri Lynn Vandyke | Registered Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-04-08 |
| 1477896256 | Susan Brown | Licensed Practical Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-04-01 |
| 1366710725 | Sharon Johnson Waters | Counselor | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2011-12-13 |
| 1063780773 | Anthony Brown | Counselor | 3680 Warwick Rd, Warwick Manor Behavior Health, East New Market, MD 21631 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043572274 | Amy Todd Bennett | Physical Therapist | 211 Manning Lane, Po Box 25, East New Market, MD 21631 | 2012-06-13 |
| 1841338027 | Joseph Clement Boschulte | Psychiatry & Neurology | 3680 Warwick Road, East New Market, MD 21631 | 2007-02-01 |
| 1043369994 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3959 Baker Rd, East New Market, MD 21631-1435 | 2007-01-09 |
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326206954 | Warwick Manor Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2008-05-30 |
| 1861650897 | Warwick Manor Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2008-05-27 |
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|---|---|---|---|---|
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| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | EAST NEW MARKET |
| Zip Code | 21631 |
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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.