POTOMAC RIDGE BEHAVIOAL HEALTH ES (NPI# 1942426911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942426911 |
| Entity Type | Organization |
| Organization Name | POTOMAC RIDGE BEHAVIOAL HEALTH ES |
| Practice Address |
821 Fieldcrest Rd Cambridge MD 21613-9423 |
| Practice Telephone | 4102210288 |
| Practice Fax Number | 4102289588 |
| Mailing Telephone | 4102210288 |
| Mailing Fax Number | 4102289588 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. JOHN MISTRANGELO (ADMINISTRATOR) |
| Authorized Official Telephone | 4102210288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281PC2000X |
Chronic Disease Hospital Specialization: Children |
09-001 | MD | Hospitals |
| Street Address |
821 FIELDCREST RD |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740227602 | Chesapeake Youth Center | Psychiatric Residential Treatment Facility | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2006-06-01 |
| 1518570274 | Avenues Recovery Center of Chesapeake Bay, LLC | Clinic/Center | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2020-08-24 |
| 1336752096 | Avenues Recovery Center of Chesapeake Bay, LLC | Clinic/Center | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2020-08-24 |
| 1821634098 | Avenues Recovery Center of Chesapeake Bay, LLC | Clinic/Center | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2019-11-22 |
| 1023445509 | Brittany Allison Cooper | Social Worker | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2013-09-30 |
| 1750717039 | Laura Marie Pyper | Social Worker | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2013-09-19 |
| 1003074980 | Potomac Ridge Behavioral Health Es | Psychiatric Hospital | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2008-05-28 |
| 1215107925 | Adventist Healthcare, Inc | Psychiatric Residential Treatment Facility | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2008-03-10 |
| 1053445247 | Potomac Ridge Behaviorial Health Eastern Shore | Residential Treatment Facility, Emotionally Disturbed Children | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-03-16 |
| 1912039017 | Adventist Healthcare, Inc | Psychiatric Hospital | 821 Fieldcrest Rd, Cambridge, MD 21613-9423 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 281PC2000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063952786 | Kirstie Ducharme-smith | Chronic Disease Hospital | 911 S Charles St Apt 403, Baltimore, MD 21230-4066 | 2017-02-28 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| 1376748632 | Children's National Medical Center | Chronic Disease Hospital | (2nd Address) Shady Grove Office, 14801 Physicians Lane, Rockville, MD 20850 | 2007-06-18 |
| 1104234590 | The Johns Hopkins Hospital | Chronic Disease Hospital | 1800 Orleans St, Bloomberg 9306, Baltimore, MD 21287-0010 | 2014-07-29 |
| 1881800027 | Kennedy Krieger Children's Hospital, Inc. | Chronic Disease Hospital | 707 N. Broadway, Baltimore, MD 21205 | 2007-05-15 |
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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.