SAMANTHA T. BENDER, PH.D., LLC


Address: 4915 Auburn Ave, Suite 110, Bethesda, MD 20814-2636
Phone: 3017182971

SAMANTHA T. BENDER, PH.D., LLC (NPI# 1912152703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912152703
Entity Type Organization
Organization Name SAMANTHA T. BENDER, PH.D., LLC
Practice Address 4915 Auburn Ave
Suite 110
Bethesda
MD 20814-2636
Practice Telephone 3017182971
Practice Fax Number 3017182972
Mailing Telephone 3017182971
Mailing Fax Number 3017182972
Enumeration Date 2008-11-21
Last Update Date 2008-11-21
Authorized Official Name DR. SAMANTHA T BENDER (SOLE PROPRIETOR)
Authorized Official Telephone 3017182971
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 03615 MD Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MD 400939800 05
MD INDIVIDUAL NPI 1770529109 01

Office Location

Street Address 4915 AUBURN AVE
SUITE 110
City BETHESDA
State MD
Zip Code 20814-2636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295789386 Javed Rahmat Internal Medicine 4915 Auburn Ave, Suite 104, Bethesda, MD 20814-2636 2006-05-22
1780160531 Jordan Ashley Madison Marriage & Family Therapist 4915 Auburn Ave, Bethesda, MD 20814-2636 2018-07-16
1235628470 Genardra Pugh Counselor 4915 Auburn Ave, Suite 102, Bethesda, MD 20814 2018-05-03
1326474511 East Coast Behavioral Health, LLC Community/Behavioral Health 4915 Auburn Ave, Suite 102, Bethesda, MD 20814-2636 2013-09-19
1417298209 Bethesda Allergy, Asthma, and Research Center, LLC Allergy & Immunology 4915 Auburn Ave, Suite 202, Bethesda, MD 20814-2636 2013-03-05
1194049544 Pleasant Health Services Inc Contractor 4915 Auburn Ave, C/o Dr. Kaldun Nossuli, Suite 306, Bethesda, MD 20814-2636 2010-03-15
1619003167 Gordon David Raphael Allergy & Immunology 4915 Auburn Ave, Suite 202, Bethesda, MD 20814-2636 2007-02-26
1972648079 Edward Spector Psychologist 4915 Auburn Ave, Ste. 110, Bethesda, MD 20814-2636 2007-02-20
1124193479 Washington Nephrology Associates Internal Medicine 4915 Auburn Ave, Suite 104, Bethesda, MD 20814-2636 2006-11-22
1447323050 Ingrid Zooi Conklin Social Worker 4915 Auburn Ave, Suite 110, Bethesda, MD 20814-2636 2006-11-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1881066793 Cornerstone Montgomery, Inc. Community/Behavioral Health 6040 Southport Dr, Bethesda, MD 20814-1848 2015-10-30
1457749616 Catholic Family Clinician Network Community/Behavioral Health 7007 Bradley Blvd, Bethesda, MD 20817-2149 2014-12-22
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Competitor

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City BETHESDA
Zip Code 20814

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Dataset Information

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.

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