SAFE HARBOR CHRISTIAN OF ANNAPOLIS (NPI# 1942679592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942679592 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN OF ANNAPOLIS |
| Practice Address |
108 Old Solomons Island Rd Annapolis MD 21401-3845 |
| Mailing Address |
946 Nabbs Creek Rd Glen Burnie MD 21060-8434 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | SELENA ELDRIDGE (DIRECTOR) |
| Authorized Official Telephone | 4108934600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PTAN | 383298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710356142 | Safe Harbor Christian of Annapolis | Psychologist | 1071 Bay Ridge Rd, Annapolis, MD 21403-4225 | 2015-09-16 |
| 1891164240 | Safe Harbor Christian of Annapolis | Psychologist | 377 W Central Ave, Davidsonville, MD 21035-2029 | 2015-09-16 |
| 1497124044 | Safe Harbor Christian of Annapolis | Psychologist | 16010 Annapolis Rd, Bowie, MD 20715 | 2015-09-24 |
| Street Address |
108 OLD SOLOMONS ISLAND RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164446639 | Anna Kaija Roush | Social Worker | 108 Old Solomons Island Rd, Suite U-7, Annapolis, MD 21401-3845 | 2006-07-27 |
| 1780217323 | Christian Hunt Arbogast | Counselor | 108 Old Solomons Island Rd, Annapolis, MD 21401-3845 | 2020-02-21 |
| 1154792901 | Daniel Beigel | Counselor | 108 Old Solomons Island Rd, Annapolis, MD 21401-3845 | 2015-10-19 |
| 1033526702 | Daniel A. Johnson | Social Worker | 108 Old Solomons Island Rd, Unit 7, Annapolis, MD 21401-3845 | 2014-07-15 |
| 1013353887 | Nancy L Mccamish | Counselor | 108 Old Solomons Island Rd, U7, Annapolis, MD 21401-3845 | 2013-05-20 |
| 1265778682 | Daniel Joshua Wetherbee | Counselor | 108 Old Solomons Island Rd, Unit 7, Annapolis, MD 21401-3845 | 2012-12-13 |
| 1942587662 | Christian Counseling Center of Annapolis, Inc | Psychiatry & Neurology | 108 Old Solomons Island Rd, Annapolis, MD 21401-3845 | 2011-11-09 |
| 1013292911 | Amy T. Masser | Counselor | 108 Old Solomons Island Rd, U7, Annapolis, MD 21401-3845 | 2011-10-12 |
| 1124313994 | Theresa S Bouma | Counselor | 108 Old Solomons Island Rd, U7, Annapolis, MD 21401-3845 | 2011-06-09 |
| 1609008606 | David J Kellner | Counselor | 108 Old Solomons Island Rd, Suite U-7, Annapolis, MD 21401-3845 | 2009-08-10 |
| Find all providers in the same location | ||||
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417759 | Timothy Lee Mewmaw | Counselor | 700 Melvin Ave Ste 5, Annapolis, MD 21401-1506 | 2019-09-27 |
| 1063903722 | Gail Bowles | Counselor | 133 Defense Hwy Ste 210, Annapolis, MD 21401-8907 | 2018-05-29 |
| 1295246718 | Safe Harbor Behavioral Care Chesapeake LLC | Counselor | 108 Old Solomons Island Rd Unit 5, Annapolis, MD 21401-3845 | 2017-10-24 |
| 1063891109 | Laura Wanderling | Counselor | 1843 Lindamoor Dr, Annapolis, MD 21401-1039 | 2015-05-21 |
| 1609264506 | Rickie Phillips | Counselor | 201 Medical Parkway, Annapolis, MD 21401 | 2014-12-30 |
| 1689921371 | Jane Spell | Counselor | 884 Chesterfield Rd, Annapolis, MD 21401-7049 | 2012-08-13 |
| 1881969459 | Serenity Therapeutic Counseling Services | Counselor | 1612 Mcguckian Ave Suite 3, Annapolis, MD 21401-4024 | 2012-03-15 |
| 1437461308 | Gwen Marie Condon | Counselor | 8 Leeward Ct, Annapolis, MD 21403-3489 | 2010-07-08 |
| 1942523816 | Rebecca J Bickel | Counselor | 1056 Pinecrest Dr, Annapolis, MD 21403-4253 | 2010-03-08 |
| 1942534409 | James A Stafford | Counselor | 102 Old Solomons Island Rd, Suite 202, Annapolis, MD 21401-3816 | 2009-09-30 |
| Find all providers in ANNAPOLIS | ||||
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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.