CORNERSTONE MONTGOMERY, INC (NPI# 1962874875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962874875 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE MONTGOMERY, INC |
| Practice Address |
2 Taft Ct A Rockville MD 20850-1307 |
| Practice Telephone | 3014934200 |
| Practice Fax Number | 3014936209 |
| Mailing Telephone | 3014934200 |
| Mailing Fax Number | 3014936209 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | GWENDOLYN ZECHA (CFO) |
| Authorized Official Telephone | 3018964262 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNERSTONE MONTGOMERY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 4996 | MD | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CORNERSTONE MONTGOMERY, INC. | 6040 Southport Dr, Bethesda, MD 20814-1848 |
| Street Address |
2 TAFT CT A |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134591985 | Cornerstone Montgomery, Inc. | Clinic/Center | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-20 |
| 1245866052 | Steven Karkos | Social Worker | 2 Taft Ct, Rockville, MD 20850-1390 | 2020-03-13 |
| 1922582824 | Julianne Tortolano Retzer | Counselor | 2 Taft Ct, Rockville, MD 20850-1390 | 2018-09-18 |
| 1407388754 | Community Clinic Inc | Clinic/Center | 2 Taft Ct, Rockville, MD 20850-1307 | 2017-03-28 |
| 1164963955 | Sarah Moore | Social Worker | 2 Taft Ct, Suite 200, Rockville, MD 20850-1307 | 2017-03-14 |
| 1528509213 | Rachel Meyer | Social Worker | 2 Taft Ct, Suite 200, Rockville, MD 20850-1307 | 2017-03-14 |
| 1871943381 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2016-06-15 |
| 1154793065 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-30 |
| 1851763494 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922470541 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 14221 Chadwick Ln, Rockville, MD 20853-2105 | 2015-10-22 |
| 1063894699 | Ispar Foundation, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5914 Vandegrift Ave, Rockville, MD 20851-1940 | 2015-06-19 |
| 1639696438 | Montgomery County Maryland Government | Community Based Residential Treatment Facility, Mental Illness | 1301 Piccard Dr, Rockville, MD 20850-4320 | 2017-08-23 |
| 1528430436 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2204 Mcauliffe Dr, Rockville, MD 20851-1548 | 2015-10-30 |
| 1730487703 | Montgomery County Maryland Government | Community Based Residential Treatment Facility, Mental Illness | 1301 Piccard Dr, Rockville, MD 20850-4320 | 2011-03-01 |
| 1164656252 | Resources for Human Development | Community Based Residential Treatment Facility, Mental Illness | 14701 Avery Rd, Rockville, MD 20853-3605 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
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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.