BERGAND GROUP (NPI# 1871999276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871999276 |
Entity Type | Organization |
Organization Name | BERGAND GROUP |
Practice Address |
1803 Harford Rd Fallston MD 21047 |
Mailing Address |
1803 Harford Rd Fallston MD 21047-2501 |
Practice Telephone | 4108537691 |
Practice Fax Number | 4435195167 |
Mailing Telephone | 4108537691 |
Mailing Fax Number | 4435195167 |
Enumeration Date | 2014-11-12 |
Last Update Date | 2018-06-29 |
Authorized Official Name | CRAIG HOWARD LIPPENS (PROGRAM DIRECTOR) |
Authorized Official Telephone | 4108537691 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
D0023973 | MD | Allopathic & Osteopathic Physicians |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
D0023973 | MD | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 942926 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013402379 | Bergand Group | Clinic/Center | 1300 York Rd Ste 300, Lutherville, MD 21093-6019 | 2018-06-28 |
1407113483 | Bergand Group | Psychiatry & Neurology | 1300 York Rd, Suite 300c, Lutherville, MD 21093 | 2012-04-16 |
Street Address |
1803 HARFORD RD |
City | FALLSTON |
State | MD |
Zip Code | 21047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962055343 | The Bergand Group LLC | Community/Behavioral Health | 1803 Harford Rd, Fallston, MD 21047-2501 | 2019-07-24 |
1184119448 | The Bergand Group LLC | Clinic/Center | 1803 Harford Rd, Fallston, MD 21047-2501 | 2018-06-28 |
1457707341 | Gina Pursley | Social Worker | 1803 Harford Rd, Fallston, MD 21047-2501 | 2016-05-10 |
1235501495 | Christin Rocha | Counselor | 1803 Harford Rd, Fallston, MD 21047-2501 | 2015-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316583750 | Alfred Tetteh | Nurse Practitioner | Choiceone Urgent Care-fallston, 2315 Belair Road Suite C1, Fallston, MD 21047 | 2019-11-20 |
1184148009 | Walgreen Co | Pharmacy | 2101 Fallston Rd, Fallston, MD 21047 | 2017-08-02 |
1407122716 | Wendy Peckinpaugh | Registered Nurse | 2517 Hess Road, Fallston, MD 21047 | 2012-03-30 |
1114244829 | Ann-louise Hardesty | Social Worker | 1716 Harford Road Suite 204, Kilgalen Associates, Fallston, MD 21047 | 2010-04-21 |
1255458659 | Fallston Volunteer Fire & Ambulance Company, Inc. | Ambulance | 2201 Carrs Mill Rd, Fallston, MD 21047 | 2007-03-23 |
1740329283 | Salvacion Garin Lazatin | General Practice | 2412 Baldwin Mill Rd, Fallston, MD 21047 | 2007-02-05 |
1508915059 | William Michael Kenney | Dentist | 209 Mountain Rd, Fallston, MD 21047 | 2007-01-10 |
1902964844 | Janet Sue Neer | Social Worker | 1716 Harford Rd Suite 204, Kilgalen Associates, Fallston, MD 21047 | 2006-12-04 |
1275628265 | Allen E Silver Md Pa | Ophthalmology | 1809 Connolly Rd, Fallston, MD 21047 | 2006-10-04 |
1033229877 | Perfecto Cruz Valarao | Internal Medicine | 1716 Harford Rd, Suite 101, Fallston, MD 21047 | 2006-08-30 |
Find all providers in zip 21047 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
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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.