MONOCACY START CENTER (NPI# 1780960609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780960609 |
| Entity Type | Organization |
| Organization Name | MONOCACY START CENTER |
| Practice Address |
65 Thomas Johnson Dr Suite A Frederick MD 21702-4371 |
| Practice Telephone | 3016623808 |
| Practice Fax Number | 3016959694 |
| Mailing Telephone | 3016623808 |
| Mailing Fax Number | 3016959694 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | DR. RALPH LEE MCBEE (VICE PRESIDENT) |
| Authorized Official Telephone | 3016623808 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3956 | MD | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Monocacy Start Center Inc. | 65 Thomas Johnson Drive, Suite A, Frederick, Maryland 21702 |
| Street Address |
65 THOMAS JOHNSON DR SUITE A |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546994 | Regina Kundell | Nurse Practitioner | 65 Thomas Johnson Dr, C, Frederick, MD 21702-4371 | 2005-05-27 |
| 1770115875 | Stefanie Cullum | Behavior Technician | 65 Thomas Johnson Dr, Frederick, MD 21702-4371 | 2020-02-06 |
| 1871137505 | Alyssa Heflin | Behavior Technician | 65 Thomas Johnson Dr, Frederick, MD 21702-4371 | 2019-11-06 |
| 1144874413 | Rebecca Kucevic | Behavior Technician | 65 Thomas Johnson Dr, Frederick, MD 21702-4371 | 2019-07-25 |
| 1205288271 | Christina Wagoner | Counselor | 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4371 | 2016-07-01 |
| 1649637554 | Laren Anderson | Counselor | 65 Thomas Johnson Dr, #a Attn: Laren Anderson, Frederick, MD 21702-4371 | 2016-01-22 |
| 1366838617 | Kelsey Sue Eaton | Community Health Worker | 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4371 | 2015-04-14 |
| 1871986075 | Sam Specht | Community Health Worker | 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4371 | 2015-03-12 |
| 1407247638 | Emma Rivera | Community Health Worker | 65 Thomas Johnson Dr, Ste A, Frederick, MD 21702-4371 | 2015-02-10 |
| 1255746020 | Todd Phillips | Physical Therapist | 65 Thomas Johnson Dr, Suite D, Frederick, MD 21702-4371 | 2014-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421415 | Brian Daniel Gustman | Psychologist | 6333 Copper Dr, Frederick, CO 80516-9351 | 2020-06-10 |
| 1144647561 | Behavioral Counseling Services of Washington County, Inc. | Psychologist | 427 E. Patrick Street, Frederick, MD 21701 | 2014-03-24 |
| 1134426083 | Grace Marie Riley | Psychologist | 120 W Church St Ste 1a, Frederick, MD 21701-7800 | 2011-02-11 |
| 1790092724 | Aaron Todd Heaton | Psychologist | 365 W Patrick St Fl 205, Frederick, MD 21701-4870 | 2010-09-13 |
| 1124276852 | C. Parker | Psychologist | 5257 Buckeystown Pike, Box 478, Frederick, MD 21704-7535 | 2008-09-06 |
| 1932368628 | Evergreen Psychology, LLC | Psychologist | 235 W Patrick St, Frederick, MD 21701-6934 | 2008-06-06 |
| 1285756767 | James E. Roembke Jr. | Psychologist | 116 Record St, Frederick, MD 21701-5418 | 2007-04-04 |
| 1588798607 | Jee-young Ahn | Psychologist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2007-03-14 |
| 1831224906 | Robert Frank Mannis | Psychologist | 235 Wes Patrick St, Robert F. Mannis Phd, Frederick, MD 21701 | 2007-02-22 |
| 1013075266 | Mark Douglas Springston | Psychologist | 3390 Urbana Pike, Frederick, MD 21704-7769 | 2006-12-04 |
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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.