COMMITTED TO CHANGE PC (NPI# 1912264748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912264748 |
| Entity Type | Organization |
| Organization Name | COMMITTED TO CHANGE PC |
| Practice Address |
500 Memorial Ave M304 Cumberland MD 21502-3732 |
| Practice Telephone | 2405801919 |
| Practice Fax Number | 4432766712 |
| Mailing Telephone | 2405801919 |
| Mailing Fax Number | 4432766712 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | DR. RAJENDRA LOWTAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2405801919 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
D0058483 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821356973 | Committed To Change PC | Clinic/Center | 500 Memorial Ave, M304, Cumberland, MD 21502-3732 | 2012-04-26 |
| Street Address |
500 MEMORIAL AVE M304 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324465 | Susan Joyce Keister | Nurse Practitioner | 500 Memorial Ave, Cumberland, MD 21502-3732 | 2005-05-31 |
| 1497009088 | Hannah Marie Corcoran | Counselor | 500 Memorial Ave, Suite M304, Cumberland, MD 21502-3732 | 2012-11-03 |
| 1164771184 | Krystal Dawn Nickel | Counselor | 500 Memorial Ave, Suite M304, Cumberland, MD 21502-3732 | 2012-09-05 |
| 1811255565 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1720346471 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1962760959 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1821356973 | Committed To Change PC | Clinic/Center | 500 Memorial Ave, M304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1538427612 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1558636134 | Nebojsa V Zimonjic | Counselor | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-03-15 |
| 1598900086 | Cumberland Urology, Inc. | Urology | 500 Memorial Ave, Suite 304, Cumberland, MD 21502-3732 | 2008-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| 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 |
|---|---|---|---|---|
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| 1083910251 | Advantage Plus Counseling LLC | Clinic/Center | 1640 Talbot St, Cumberland, WI 54829-9128 | 2011-02-04 |
| 1447554662 | Associated Catholic Charities, Inc | Clinic/Center | 308 Virginia Ave, Cumberland, MD 21502-4559 | 2011-01-03 |
| 1548581010 | Associated Catholic Charities, Inc. | Clinic/Center | 517 E Oldtown Rd, Cumberland, MD 21502-3687 | 2010-06-18 |
| 1386972826 | Allegany County Health Department | Clinic/Center | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2009-11-20 |
| 1306092531 | Western Maryland Health System Corporation | Clinic/Center | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6393 | 2008-08-07 |
| 1063677326 | Associated Catholic Charities | Clinic/Center | 308 Virginia Ave, Cumberland, MD 21502 | 2008-07-25 |
| 1154463495 | Allegany County Health Department | Clinic/Center | 12501-12503 Willowbrook Rd, Cumberland, MD 21502 | 2007-02-13 |
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| 1154920916 | Healing Practice Counseling, Inc | Clinic/Center | 7908 Garland Ave, Takoma Park, MD 20912-6814 | 2020-10-22 |
| 1972102309 | Arise & Shine Health Center LLC | Clinic/Center | 2301 Dorsey Rd Ste 208, Glen Burnie, MD 21061-3275 | 2020-10-17 |
| 1942807987 | Ray of Hope Counseling Center LLC | Clinic/Center | 48 Wedge Way, Pikesville, MD 21208-1210 | 2020-10-02 |
| 1255948642 | Apple Tree Wellness | Clinic/Center | 119 Teachers Way Apt 3044, Gaithersburg, MD 20877-3176 | 2020-09-29 |
| 1154938975 | Lovework, LLC | Clinic/Center | 2352 Eutaw Pl Apt 3, Baltimore, MD 21217-4084 | 2020-09-25 |
| 1144837980 | King Health Systems, Inc. | Clinic/Center | 14201 Laurel Park Dr Ste 206, Laurel, MD 20707-5203 | 2020-09-25 |
| 1871109181 | Journey Health Center | Clinic/Center | 1808 Woodlawn Dr Ste O, Gwynn Oak, MD 21207-4023 | 2020-09-22 |
| 1801402656 | Desicare LLC | Clinic/Center | 7712 West Shore Road, Pasadena, MD 21122-1519 | 2020-09-17 |
| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
| 1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on COMMITTED TO CHANGE PC.
| 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.