CORNERSTONE MONTGOMERY, INC. (NPI# 1881066793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881066793 |
Entity Type | Organization |
Organization Name | CORNERSTONE MONTGOMERY, INC. |
Practice Address |
6040 Southport Dr Bethesda MD 20814-1848 |
Practice Telephone | 3014934200 |
Practice Fax Number | 3014936209 |
Mailing Telephone | 3014934200 |
Mailing Fax Number | 3014936209 |
Enumeration Date | 2015-10-30 |
Last Update Date | 2015-10-30 |
Authorized Official Name | GWENDOLYN ZECHA (CFO) |
Authorized Official Telephone | 3018964262 |
Is Organization Subpart | Y |
Parent Organization Name | CORNERSTONE MONTGOMERY, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 4763 | MD | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891167706 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8915 Colesville Rd, Silver Spring, MD 20910-4339 | 2015-10-30 |
1548632193 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6112 Granby Rd, Derwood, MD 20855-1474 | 2015-10-22 |
1376915991 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1221 Arcola Ave, Wheaton, MD 20902-3407 | 2015-10-22 |
1831561463 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8205 Houston Ct, Takoma Park, MD 20912-6247 | 2015-10-22 |
1093187627 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3914 Tynewick Dr, Silver Spring, MD 20906-2665 | 2015-10-22 |
1871965400 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10615 Parkwood Dr, Kensington, MD 20895-4067 | 2015-10-22 |
1922470541 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 14221 Chadwick Ln, Rockville, MD 20853-2105 | 2015-10-22 |
1952773582 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 615 University Blvd E, Silver Spring, MD 20901-3769 | 2015-10-22 |
1972975506 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13436 Fountain Club Dr, Germantown, MD 20874-2176 | 2015-10-22 |
1134591985 | Cornerstone Montgomery, Inc. | Clinic/Center | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CORNERSTONE MONTGOMERY, INC. | 6040 Southport Dr, Bethesda, MD 20814-1848 |
Street Address |
6040 SOUTHPORT DR |
City | BETHESDA |
State | MD |
Zip Code | 20814-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194725739 | Cornerstone Montgomery, Inc. | Clinic/Center | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2005-07-26 |
1992343370 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2019-12-16 |
1922591163 | Yvonne Medina | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2018-06-12 |
1881122034 | Jaline Gilliam | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2017-06-01 |
1871044784 | Agerie Ejigu | Nurse Practitioner | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-10-17 |
1619425865 | Rosa Moudene | Registered Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-09-16 |
1679923833 | Alexandra Friedman | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-20 |
1104276955 | Kathleen Kirk | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-13 |
1609239789 | Emily Picon | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-04-05 |
1124491543 | James Ladner | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
Find all providers in zip 20814 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
1023559499 | Noble Matters, LLC | Community/Behavioral Health | 6522 E Halbert Rd, Bethesda, MD 20817-5414 | 2017-03-17 |
1083005870 | The Counseling Center of Maryland | Community/Behavioral Health | 8030 Woodmont Avenue, 3rd Floor, Bethesda, MD 20814 | 2015-02-15 |
1265834147 | Eleni Alexiou, Lcsw-c, LLC | Community/Behavioral Health | 4827 Rugby Ave Ste 302, Bethesda, MD 20814-3034 | 2014-09-22 |
1891311718 | Prism Integrative Health, LLC | Community/Behavioral Health | 8030 Woodmont Ave Fl 3, Bethesda, MD 20814-3027 | 2020-06-17 |
1124642228 | Bethesda Psychological Evaluations and Treatment Limited | Community/Behavioral Health | 4300 Montgomery Ave Ste 104, Bethesda, MD 20814-4412 | 2020-06-04 |
1992343370 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2019-12-16 |
1699207993 | Dr. Judi Sprei and Associates | Community/Behavioral Health | 4933 Auburn Ave, Suite 205, Bethesda, MD 20814-2631 | 2017-03-28 |
1457749616 | Catholic Family Clinician Network | Community/Behavioral Health | 7007 Bradley Blvd, Bethesda, MD 20817-2149 | 2014-12-22 |
1326474511 | East Coast Behavioral Health, LLC | Community/Behavioral Health | 4915 Auburn Ave, Suite 102, Bethesda, MD 20814-2636 | 2013-09-19 |
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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.