MENTOR-MARYLAND


Address: 620 West Naylor Mill Road, Suite A-f, Salisbury, MD 21801
Phone: 4105485921

MENTOR-MARYLAND (NPI# 1750817912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750817912
Entity Type Organization
Organization Name MENTOR-MARYLAND
Practice Address 620 West Naylor Mill Road
Suite A-f
Salisbury
MD 21801
Mailing Address 5720 Executive Drive
Catonsville
MD 21228
Practice Telephone 4105485921
Mailing Telephone 4104554600
Mailing Fax Number 4104554659
Enumeration Date 2017-05-10
Last Update Date 2017-05-10
Authorized Official Name DR. CAROL IVY SIMMONS (DIRECTOR, OMHC)
Authorized Official Telephone 4104554600
Authorized Official Credential PH.D., LCSW-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health MH-1792 MD Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MD 056668 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023544285 Mentor-maryland Community/Behavioral Health 4200 Forbes Boulevard, Suite 100, Lanham, MD 20706 2017-05-10
1588190748 Mentor-maryland Community/Behavioral Health 1540 Caton Center Drive, Halethorpe, MD 21227 2017-05-10
1104352368 Mentor-maryland Community/Behavioral Health 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 2017-05-10

Office Location

Street Address 620 WEST NAYLOR MILL ROAD
SUITE A-F
City SALISBURY
State MD
Zip Code 21801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487263760 Patricia Ann Nativio Specialist/Technologist University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 2020-07-23
1710516315 Launa Duffy Counselor 1300 East Carroll St, Salisbury, MD 21801 2020-04-06
1275161960 Zion Wellness Center Psychiatry & Neurology 2324 West Zion Road Unit 110, Salisbury, MD 21801 2020-03-30
1508404997 Pridgett Harmon Counselor 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 2019-12-16
1821646324 Diane Palmer Counselor 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 2019-08-28
1558923672 Oc Wellness LLC Nurse Practitioner 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 2019-06-28
1033686670 Megan Insley Speech-Language Pathologist 1213 Emeron Ave, Salisbury, MD 21801 2018-11-01
1811462831 Kailyn Asbury Registered Nurse 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 2018-10-05
1750866380 Marc Levin Mcdonald Physical Therapist 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 2018-09-28
1891277695 Lindsay Britt Stallings Counselor 116 West Main St. Suite 204, Salisbury, MD 21801 2018-08-29
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720692833 Tgh Phase 2 Community/Behavioral Health 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 2020-09-04
1326694217 Ifcs of Maryland, Inc. A/k/a Institute for Family Centered Services, I Community/Behavioral Health 2326 Goddard Pkwy Ste D, Salisbury, MD 21801-1126 2019-08-15
1578125969 Lifes Energy Wellness Center Inc. Community/Behavioral Health 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 2019-07-05
1801392071 Tgh Behavioral Health Services Inc. Community/Behavioral Health 4030 Woodleaf Rd, Salisbury, NC 28147-7771 2018-04-04
1336655547 Focus Point Solutions LLC Community/Behavioral Health 803 N Salisbury Blvd Ste 2200, Salisbury, MD 21801-3657 2017-12-26
1447775804 Monarch Community/Behavioral Health 2602 Stokes Ferry Rd, Salisbury, NC 28146-2211 2017-08-07
1316473556 Go-getters, Inc. Community/Behavioral Health 108 E Lehigh Ave, Salisbury, MD 21801-4173 2017-05-09
1528594744 Go-getters, Inc. Community/Behavioral Health 704 N. Division St., Salisbury, MD 21801 2017-05-09
1245781582 Go-getters, Inc. Community/Behavioral Health 704 N. Division Street, Salisbury, MD 21801 2016-10-21
1104374156 Tgh Behavior of New Jersey Community/Behavioral Health 2616 Old Wilkesboro Rd, Salisbury, NC 28144-3073 2016-09-20
Find all providers in SALISBURY

Competitor

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City SALISBURY
Zip Code 21801

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Dataset Information

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.

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