SAFE HARBOR CHRISTIAN OF ANNAPOLIS (NPI# 1710356142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710356142 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN OF ANNAPOLIS |
| Practice Address |
1071 Bay Ridge Rd Annapolis MD 21403-4225 |
| Mailing Address |
946 Nabbs Creek Rd Glen Burnie MD 21060-8434 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | SELENA ELDRIDGE (DIRECTOR) |
| Authorized Official Telephone | 4108934600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PTAN | 383298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891164240 | Safe Harbor Christian of Annapolis | Psychologist | 377 W Central Ave, Davidsonville, MD 21035-2029 | 2015-09-16 |
| 1497124044 | Safe Harbor Christian of Annapolis | Psychologist | 16010 Annapolis Rd, Bowie, MD 20715 | 2015-09-24 |
| 1942679592 | Safe Harbor Christian of Annapolis | Psychologist | 108 Old Solomons Island Rd, Annapolis, MD 21401-3845 | 2015-09-24 |
| Street Address |
1071 BAY RIDGE RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21403-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1053839654 | Brittney Edwards | Pharmacist | 975 Bay Ridge Road Bridge Shopping Center, Annapolis, MD 21403 | 2017-09-03 |
| 1932585684 | Michael Furno | Physical Therapy Assistant | 35 Milkshake Lane, Annapolis, MD 21403 | 2015-08-05 |
| 1174948863 | Grace Ann Aumiller | Occupational Therapy Assistant | 180 Admiral Cochrane Drive, Annapolis, MD 21403 | 2014-03-04 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1750647772 | Pauline A Gianoplus | Social Worker | 786 E Fairview Ave, E, Annapolis, MD 21403 | 2012-04-03 |
| 1962787366 | Katherine Sarah Billington | Nurse Anesthetist, Certified Registered | 534 Burnside Street, Annapolis, MD 21403 | 2011-10-17 |
| 1891979076 | Debra Joy Krausman | Counselor | 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 | 2007-12-24 |
| 1770638785 | Mary Lee Zetter | Social Worker | 610 Harbor Drive, Annapolis, MD 21403 | 2007-01-23 |
| 1154478501 | Debra R Taylor | Occupational Therapist | 1419 Forest Drive, Suite 210, Annapolis, MD 21403 | 2007-01-05 |
| Find all providers in zip 21403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417759 | Timothy Lee Mewmaw | Counselor | 700 Melvin Ave Ste 5, Annapolis, MD 21401-1506 | 2019-09-27 |
| 1063903722 | Gail Bowles | Counselor | 133 Defense Hwy Ste 210, Annapolis, MD 21401-8907 | 2018-05-29 |
| 1295246718 | Safe Harbor Behavioral Care Chesapeake LLC | Counselor | 108 Old Solomons Island Rd Unit 5, Annapolis, MD 21401-3845 | 2017-10-24 |
| 1063891109 | Laura Wanderling | Counselor | 1843 Lindamoor Dr, Annapolis, MD 21401-1039 | 2015-05-21 |
| 1609264506 | Rickie Phillips | Counselor | 201 Medical Parkway, Annapolis, MD 21401 | 2014-12-30 |
| 1689921371 | Jane Spell | Counselor | 884 Chesterfield Rd, Annapolis, MD 21401-7049 | 2012-08-13 |
| 1881969459 | Serenity Therapeutic Counseling Services | Counselor | 1612 Mcguckian Ave Suite 3, Annapolis, MD 21401-4024 | 2012-03-15 |
| 1437461308 | Gwen Marie Condon | Counselor | 8 Leeward Ct, Annapolis, MD 21403-3489 | 2010-07-08 |
| 1942523816 | Rebecca J Bickel | Counselor | 1056 Pinecrest Dr, Annapolis, MD 21403-4253 | 2010-03-08 |
| 1942534409 | James A Stafford | Counselor | 102 Old Solomons Island Rd, Suite 202, Annapolis, MD 21401-3816 | 2009-09-30 |
| Find all providers in ANNAPOLIS | ||||
Please comment or provide details below to improve the information on SAFE HARBOR CHRISTIAN OF ANNAPOLIS.
| 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.