ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1912306705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912306705 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | MENTAL HEALTH SPECIALIST AT PATHWAYS |
| Practice Address |
201 Defense Hwy Suite 100 Annapolis MD 21401-8943 |
| Mailing Address |
2620 Riva Rd Annapolis MD 21401-7305 |
| Practice Telephone | 4434816549 |
| Practice Fax Number | 4434816515 |
| Mailing Telephone | 4105739000 |
| Mailing Fax Number | 4105739001 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | STEVEN CLARKE (VICE PRESIDENT) |
| Authorized Official Telephone | 4434816549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Mental Health Specialist at Pathways | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187052 | Anne Arundel Physician Group, LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-02-24 |
| 1851925309 | Anne Arundel Physician Group, LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd Ste B116, Bowie, MD 20716-3143 | 2020-02-24 |
| 1942850334 | Anne Arundel Physician Group, LLC | Family Medicine | 1332 Cape St Claire Rd, Annapolis, MD 21409-5216 | 2019-09-17 |
| 1164088159 | Anne Arundel Physician Group, LLC | Family Medicine | 1110 S Talbot St Ste 6, St Michaels, MD 21663-2606 | 2019-05-15 |
| 1578127171 | Anne Arundel Physician Group, LLC | Family Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-04-29 |
| 1083191530 | Anne Arundel Physician Group, LLC | Midwife | 4175 N Hanson Ct Ste 201, Bowie, MD 20716-3181 | 2018-07-26 |
| 1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| Street Address |
201 DEFENSE HWY SUITE 100 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396703229 | Sadiq H Al-samarrai | Psychiatry & Neurology | 201 Defense Hwy, Suite 100, Annapolis, MD 21401-8943 | 2006-05-02 |
| 1225588999 | Advanced Pain Management Specialist, LLC | Specialist | 201 Defense Hwy, Suite 205, Annapolis, MD 21401-8943 | 2016-10-06 |
| 1508319062 | Anne Arundel Physician Group, LLC | Family Medicine | 201 Defense Hwy, Suite 100, Annapolis, MD 21401-8943 | 2016-08-01 |
| 1104051440 | Anne Arundel Physician Group LLC | Internal Medicine | 201 Defense Hwy, Suite 100, Annapolis, MD 21401-8943 | 2009-05-15 |
| 1760683197 | Stephanie Thompson | Anesthesiology | 201 Defense Hwy, Suite 205, Annapolis, MD 21401-8943 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958696 | Kelly Harding | Psychologist | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-08-19 |
| 1891013835 | Deborah D. Gambles | Psychologist | 1997 Annapolis Exchange Pkwy, Suite 200, Annapolis, MD 21401-3271 | 2010-05-14 |
| 1891992814 | Carol Ann Robbins | Psychologist | 133 Defense Hwy, Suite 210, Annapolis, MD 21401-7098 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353852 | Dara G Friedman-wheeler | Psychologist | 117 Brandon Rd, Baltimore, MD 21212-1128 | 2020-07-10 |
| 1558858217 | The Tree House Child Advocacy Center of Montgomery County Md, Inc. | Psychologist | 7300 Calhoun Pl Ste 700, Rockville, MD 20855-3702 | 2018-04-18 |
| 1053843029 | Therapeutic Superventions, Inc. | Psychologist | 3919 National Dr Ste 110, Burtonsville, MD 20866-1106 | 2017-03-29 |
| 1710434816 | Latanya Long | Psychologist | 8970 Route 108 Ste B, Columbia, MD 21045-2145 | 2016-09-06 |
| 1932508066 | Taryn Margaret Allen | Psychologist | National Cancer Institute of Healt, 9030 Old Georgetown Rd, Bethesda, MD 20892-8200 | 2014-08-14 |
| 1235499690 | Melissa Mae Blanock | Psychologist | 317 Wessling Cir, Catonsville, MD 21228-4724 | 2012-05-19 |
| 1376839365 | Michelle Elizabeth Costanzo | Psychologist | 4301 Jones Bridge Rd Rm A3056, Bethesda, MD 20814-4712 | 2011-06-28 |
| 1134418429 | Keenan Kester Cofield | Psychologist | 2126 Pitney Rd, Baltimore, MD 21234-4924 | 2011-04-07 |
| 1275844359 | Joseph Byron Sheare | Psychologist | 5014 Alta Vista Rd, Bethesda, MD 20814-5705 | 2010-06-23 |
| 1215163043 | James R. Lamott, Ph.d., P.C. | Psychologist | 5018 Whispering Pines Ln, Frederick, MD 21702-3542 | 2009-06-08 |
| Find all providers with the same taxonomy | ||||
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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.