COMMITTED TO CHANGE, PC (NPI# 1811255565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811255565 |
| Entity Type | Organization |
| Organization Name | COMMITTED TO CHANGE, PC |
| Practice Address |
500 Memorial Ave Suite M-304 Cumberland MD 21502-3732 |
| Practice Telephone | 2405801919 |
| Practice Fax Number | 4432766712 |
| Mailing Telephone | 2405801919 |
| Mailing Fax Number | 4432766712 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | RAJENDRA LOWTAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4102908800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
D0056120 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730447483 | Committed To Change, PC | Clinic/Center | 8965 Guilford Rd, Suite 150, Columbia, MD 21046-2384 | 2012-05-01 |
| 1720346471 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1093073744 | Committed To Change, PC | Clinic/Center | 8965 Guilford Rd, Suite 150, Columbia, MD 21046-2384 | 2012-05-01 |
| 1962760959 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1538427612 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| Street Address |
500 MEMORIAL AVE SUITE M-304 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324465 | Susan Joyce Keister | Nurse Practitioner | 500 Memorial Ave, Cumberland, MD 21502-3732 | 2005-05-31 |
| 1497009088 | Hannah Marie Corcoran | Counselor | 500 Memorial Ave, Suite M304, Cumberland, MD 21502-3732 | 2012-11-03 |
| 1164771184 | Krystal Dawn Nickel | Counselor | 500 Memorial Ave, Suite M304, Cumberland, MD 21502-3732 | 2012-09-05 |
| 1720346471 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1962760959 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1821356973 | Committed To Change PC | Clinic/Center | 500 Memorial Ave, M304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1538427612 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1912264748 | Committed To Change PC | Clinic/Center | 500 Memorial Ave, M304, Cumberland, MD 21502-3732 | 2012-04-18 |
| 1558636134 | Nebojsa V Zimonjic | Counselor | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-03-15 |
| 1598900086 | Cumberland Urology, Inc. | Urology | 500 Memorial Ave, Suite 304, Cumberland, MD 21502-3732 | 2008-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720346471 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1962760959 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1538427612 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1770852675 | Allegany County Health Department | Clinic/Center | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2011-12-21 |
| 1356536072 | Norris Counseling Services | Clinic/Center | 507 Henderson Ave, Cumberland, MD 21502-1562 | 2007-09-06 |
| 1902926686 | Upmc Western Maryland Corporation | Clinic/Center | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-03-29 |
| 1811017593 | Western Maryland Health System Braddock Hospital Corporation | Clinic/Center | 915 Bishop Walsh Rd, Cumberland, MD 21502-1805 | 2007-03-29 |
| 1609990258 | Allegany County Health Department | Clinic/Center | 12501 Willowbrook Rd, Cumberland, MD 21502-2554 | 2007-03-19 |
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|---|---|---|---|---|
| 1548876386 | The Zett Foundation Lncorporated | Clinic/Center | 1610 George Ave, Severn, MD 21144-3206 | 2020-09-17 |
| 1962033118 | S Hollingsworth LLC | Clinic/Center | 2 E Potomac St, Brunswick, MD 21716-1411 | 2020-01-27 |
| 1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
| 1720641509 | Process of Changes | Clinic/Center | 1000 Ingleside Ave Ste 1, Catonsville, MD 21228-1317 | 2019-04-17 |
| 1720567373 | Pgi Holdings LLC | Clinic/Center | 515 E Joppa Rd Ste 104, Towson, MD 21286-1804 | 2018-08-13 |
| 1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
| 1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
| 1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
| 1558869032 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 300 Scholls Ln Ste B, Frederick, MD 21701-6380 | 2018-01-30 |
| 1659885457 | C.h.o.i.c.e.s. International | Clinic/Center | 9701 Apollo Dr Ste 304, Upper Marlboro, MD 20774-4790 | 2017-12-01 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on COMMITTED TO CHANGE, PC.
| 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.