CORNERSTONE MONTGOMERY, INC. (NPI# 1972975506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972975506 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE MONTGOMERY, INC. |
| Practice Address |
13436 Fountain Club Dr Germantown MD 20874-2176 |
| Mailing Address |
6040 Southport Dr Bethesda MD 20814-1848 |
| Practice Telephone | 3014934200 |
| Practice Fax Number | 3014936209 |
| Mailing Telephone | 3014934200 |
| Mailing Fax Number | 3014936209 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| 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 | 4772-04 | MD | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891167706 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8915 Colesville Rd, Silver Spring, MD 20910-4339 | 2015-10-30 |
| 1548632193 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6112 Granby Rd, Derwood, MD 20855-1474 | 2015-10-22 |
| 1376915991 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1221 Arcola Ave, Wheaton, MD 20902-3407 | 2015-10-22 |
| 1831561463 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8205 Houston Ct, Takoma Park, MD 20912-6247 | 2015-10-22 |
| 1093187627 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3914 Tynewick Dr, Silver Spring, MD 20906-2665 | 2015-10-22 |
| 1871965400 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10615 Parkwood Dr, Kensington, MD 20895-4067 | 2015-10-22 |
| 1922470541 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 14221 Chadwick Ln, Rockville, MD 20853-2105 | 2015-10-22 |
| 1952773582 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 615 University Blvd E, Silver Spring, MD 20901-3769 | 2015-10-22 |
| 1134591985 | Cornerstone Montgomery, Inc. | Clinic/Center | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-20 |
| 1194725739 | Cornerstone Montgomery, Inc. | Clinic/Center | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2005-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CORNERSTONE MONTGOMERY, INC. | 6040 Southport Dr, Bethesda, MD 20814-1848 |
| Street Address |
13436 FOUNTAIN CLUB DR |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1134692320 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 3507 W Rogers Ave, Baltimore, MD 21215-4742 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
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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.