MR. TIMOTHY PASS (NPI# 1831485911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831485911 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY PASS |
| Credential | LGSW, LMSW |
| Practice Address |
1400 Mercantile Ln 232 Largo MD 20774-5341 |
| Practice Telephone | 3015830001 |
| Mailing Telephone | 3015830001 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1400 MERCANTILE LN 232 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596690 | Barbara Christine Williamson | Dermatology | 1400 Mercantile Ln, Ste#110, Largo, MD 20774-5341 | 2005-08-28 |
| 1699229021 | Growth Connections LLC | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-08-15 |
| 1164884151 | Shirelle Wright | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-03-28 |
| 1003214891 | Livin' The Light, LLC | Case Manager/Care Coordinator | 1400 Mercantile Ln, Suite 208, Largo, MD 20774-5341 | 2014-12-11 |
| 1669716395 | Visage Dermatology and Aesthetic Center, LLC | Dermatology | 1400 Mercantile Ln, Suite 110, Largo, MD 20774-5341 | 2012-11-19 |
| 1265709364 | Emery Jefferies | Counselor | 1400 Mercantile Ln, #232, Largo, MD 20774-5341 | 2011-11-17 |
| 1972897767 | Linda Uwanaka Ebonine | Physician Assistant | 1400 Mercantile Ln, Suite 200, Largo, MD 20774-5341 | 2011-06-08 |
| 1184916975 | Patrice Amos Brown | Occupational Therapist | 1400 Mercantile Ln, 240, Largo, MD 20774-5341 | 2011-05-11 |
| 1467751289 | Yvonne D Loftin-woodard | Social Worker | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-03-18 |
| 1972801272 | Marquitta Lynn Duvernay | Counselor | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264002 | Armstead & Associates, LLC | Clinic/Center | 1300 Mercantile Ln Ste 129-31, Largo, MD 20774-5327 | 2020-01-21 |
| 1285193425 | Safe Harbor Counseling L.L.C. | Clinic/Center | 801 W Bay Dr Ste 111, Largo, FL 33770-3269 | 2019-03-18 |
| 1154598308 | Qci Behavioral Health Consulting Group, LLC | Clinic/Center | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2008-05-15 |
| 1184841611 | Village Family Network, Inc. | Clinic/Center | 1400 Mercantile Ln Ste 204, Largo, MD 20774-5352 | 2007-04-19 |
| 1518586049 | Elevated Minds LLC | Clinic/Center | 9701 Apollo Dr Ste 100, Largo, MD 20774-4785 | 2020-04-14 |
| 1114584091 | Mending Minds Wellness Center | Clinic/Center | 1401 Mercantile Lane, Suite 485, Largo, MD 20774-2005 | 2019-05-25 |
| 1134691645 | Professional Psychology of Pinellas Pllc | Clinic/Center | 12360 66th St Ste 930, Largo, FL 33773-3434 | 2018-12-20 |
| 1164788154 | Baycare Behavioral Health Inc. | Clinic/Center | 8787 Bryan Dairy Rd, Suite 275, Largo, FL 33777-1251 | 2012-04-04 |
| 1730320615 | Health Care Alternatives of West Florida, Inc. | Clinic/Center | 270 Clearwater Largo Rd N, Largo, FL 33770-2334 | 2009-03-23 |
| 1619149598 | Village Family Network, Inc. | Clinic/Center | 1400 Mercantile Ln Ste 204, Largo, MD 20774-5352 | 2008-03-31 |
| Find all providers in LARGO | ||||
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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.