PRINCE GEORGE'S COUNTY HEALTH (NPI# 1811449937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811449937 |
| Entity Type | Organization |
| Organization Name | PRINCE GEORGE'S COUNTY HEALTH |
| Other Organization Name | SOUTHERN REGION TREATMENT PROGRAM |
| Practice Address |
9314 Piscataway Rd Clinton MD 20735-3630 |
| Practice Telephone | 3018569400 |
| Mailing Telephone | 3018569400 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | WRIGHT F DOSS (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 3018837853 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCE GEORGES COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | MD | Agencies | |
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NPI - TYPE 50 | 1871632539 | 01 |
| Other Name | Type Code |
|---|---|
| Southern Region Treatment Program | Doing Business As Name - Organization |
| Street Address |
9314 PISCATAWAY RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316089071 | Prince George's Health Department | Public Health or Welfare | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2007-02-12 |
| 1558857474 | Prince George's County Health Department | Clinic/Center | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2018-07-03 |
| 1629452909 | John Kyle Yearick | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2015-07-16 |
| 1265840540 | Adiel Okeke | Counselor | 9314 Piscataway Rd, Suite 166, Clinton, MD 20735-3630 | 2014-07-30 |
| 1003224304 | Pamela Moody | Counselor | 9314 Piscataway Rd, Room 152, Clinton, MD 20735-3630 | 2014-07-30 |
| 1346658044 | Tracy Bushee | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-25 |
| 1831507557 | Eulanda F Shaw | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-25 |
| 1477960797 | Brenda Vance | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-18 |
| 1932516259 | Nijha Burgess | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-18 |
| 1760516272 | Prince George's County Health Department | Public Health or Welfare | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881966968 | National Mentor Healthcare, LLC | Public Health or Welfare | 208 Mckoy St, Clinton, NC 28328-3402 | 2012-02-03 |
| 1053569442 | Hickman County High School Clinic | Public Health or Welfare | 301 East Cresap Street, Clinton, KY 42031 | 2008-08-28 |
| 1982747804 | Purchase District Health Dept | Public Health or Welfare | 416 Mcmorris St, Clinton, KY 42031-1244 | 2007-02-14 |
| 1316089071 | Prince George's Health Department | Public Health or Welfare | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2007-02-12 |
| 1871632539 | Prince George's County Health Department | Public Health or Welfare | 9314 Piscataway Road, Clinton, MD 20735-3630 | 2007-02-06 |
| 1790850469 | Vermillion County Health Department | Public Health or Welfare | 257 Walnut St, Clinton, IN 47842-2342 | 2006-11-21 |
| 1295833168 | Clinton Public Schools | Public Health or Welfare | 2130 W Gary Blvd, Clinton, OK 73601-5304 | 2006-09-21 |
| 1437186657 | Purchase District Health Dept | Public Health or Welfare | 370 S Washington Street, Clinton, KY 42031 | 2006-06-26 |
| 1104876788 | Henry County Health Center | Public Health or Welfare | 306 S 2nd St, Clinton, MO 64735-2106 | 2006-05-12 |
| 1366057523 | Prince George's County Health Department | Public Health or Welfare | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2020-09-14 |
| Find all providers in CLINTON | ||||
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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.