CHESAPEAKE YOUTH CENTER (NPI# 1740227602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227602 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE YOUTH CENTER |
| Practice Address |
821 Fieldcrest Rd Cambridge MD 21613-9423 |
| Practice Telephone | 4102210288 |
| Practice Fax Number | 4102289588 |
| Mailing Telephone | 4102210288 |
| Mailing Fax Number | 4102289588 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY BLACKWELL (PATIENT ACCOUTS DIRECTOR) |
| Authorized Official Telephone | 4102210288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 323P00000X | Psychiatric Residential Treatment Facility | 09011 | MD | Residential Treatment Facilities |
| X | 283Q00000X | Psychiatric Hospital | 09011 | MD | Hospitals |
| Street Address |
821 FIELDCREST RD |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570274 | Avenues Recovery Center of Chesapeake Bay, LLC | Clinic/Center | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2020-08-24 |
| 1336752096 | Avenues Recovery Center of Chesapeake Bay, LLC | Clinic/Center | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2020-08-24 |
| 1821634098 | Avenues Recovery Center of Chesapeake Bay, LLC | Clinic/Center | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2019-11-22 |
| 1023445509 | Brittany Allison Cooper | Social Worker | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2013-09-30 |
| 1750717039 | Laura Marie Pyper | Social Worker | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2013-09-19 |
| 1003074980 | Potomac Ridge Behavioral Health Es | Psychiatric Hospital | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2008-05-28 |
| 1215107925 | Adventist Healthcare, Inc | Psychiatric Residential Treatment Facility | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2008-03-10 |
| 1942426911 | Potomac Ridge Behavioal Health Es | Chronic Disease Hospital | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-04-18 |
| 1053445247 | Potomac Ridge Behaviorial Health Eastern Shore | Residential Treatment Facility, Emotionally Disturbed Children | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-03-16 |
| 1912039017 | Adventist Healthcare, Inc | Psychiatric Hospital | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215107925 | Adventist Healthcare, Inc | Psychiatric Residential Treatment Facility | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1932726346 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 2009 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 | 2020-07-01 |
| 1831733880 | Empowering Mind Resource Center | Psychiatric Residential Treatment Facility | 1429 Madison Ave, Baltimore, MD 21217-3616 | 2019-11-03 |
| 1851935803 | Empowering Mind Resource Center | Psychiatric Residential Treatment Facility | 4311 W Forest Park Ave, Baltimore, MD 21207-7451 | 2019-11-03 |
| 1871092163 | All American Home Care and Prp Services Inc. | Psychiatric Residential Treatment Facility | 8511 Harford Rd # C, Parkville, MD 21234-4670 | 2018-02-01 |
| 1558874040 | Ijomah and Associates Inc | Psychiatric Residential Treatment Facility | 3050 Old Washington Rd, Waldorf, MD 20601-3121 | 2017-11-07 |
| 1871949388 | The Recovery Village Maryland, LLC | Psychiatric Residential Treatment Facility | 13400 Edgemeade Road, Upper Marlboro, MD 20772 | 2016-05-13 |
| 1558668947 | Fescum Inc | Psychiatric Residential Treatment Facility | 6304 Willow Way, Clinton, MD 20735-3956 | 2011-02-21 |
| 1417197112 | Rehabilitation Systems, Inc | Psychiatric Residential Treatment Facility | 7375 Executive Pl Ste 301, Lanham, MD 20706-6233 | 2009-02-20 |
| 1497954275 | Baltimore Crisis Response,inc | Psychiatric Residential Treatment Facility | Walter P. Carter Center 630 West Fayette Street, Suite 6 West, Baltimore, MD 21201 | 2007-07-12 |
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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.