JILL STANFORD-JICHA


Address: 306 S Main St, North East, MD 21901-3916
Phone: 4432072479

JILL STANFORD-JICHA (NPI# 1922411446) 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) 1922411446
Entity Type Individual
Full Name JILL STANFORD-JICHA
Practice Address 306 S Main St
North East
MD 21901-3916
Practice Telephone 4432072479
Mailing Telephone 4432072479
Enumeration Date 2014-06-03
Last Update Date 2014-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Office Location

Street Address 306 S MAIN ST
City NORTH EAST
State MD
Zip Code 21901-3916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275946634 Jicha Communication Services Day Training, Developmentally Disabled Services 306 S Main St, North East, MD 21901-3916 2014-06-03

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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1063980464 Mercy Mental Healthcare Services, Inc Psychologist 20 S Hilton St, Baltimore, MD 21229-3724 2018-11-05
1669957544 Tracey Andrea Royster-bennett Psychologist 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 2018-09-26
1376038976 Gia Monique Winfield Psychologist 2118 N Charles St Apt 2, Baltimore, MD 21218-5797 2018-06-26
1992203145 American Psychiatric Group Pa Psychologist 10632 Little Patuxent Pkwy Ste 104, Columbia, MD 21044-6217 2018-01-23
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Competitor

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City NORTH EAST
Zip Code 21901

Improve Information

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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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