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11002 Veirs Mill Rd # 705 Silver Spring MD 20902-2574 | |
| (240) 777-1384 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 11002 Veirs Mill Rd # 705, Silver Spring, Maryland |
| Authorized Official Name and Position | Jameelah Johnson (MANAGER) |
| Authorized Official Contact | 2407331121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
401 Hungerford Dr Fl 6 Rockville MD 20850-4154 Ph: (240) 777-4520 | 11002 Veirs Mill Rd # 705 Silver Spring MD 20902-2574 Ph: (240) 777-1384 |
| NPI Number | 1104946482 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 4981675477 |
|---|---|
| Medicare Enrollment ID | O20040805001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104946482 | NPI | - | NPPES |
| 265391500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lidia R Carnota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235217233 PECOS PAC ID: 6608847199 Enrollment ID: I20040805001638 |
| Provider Name | Gustave Weiland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598826000 PECOS PAC ID: 1355357534 Enrollment ID: I20060224000413 |
| Provider Name | Kristin A Altar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629179510 PECOS PAC ID: 0345349346 Enrollment ID: I20070615000133 |
| Provider Name | Maria R Rios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871600288 PECOS PAC ID: 5395830715 Enrollment ID: I20071001000329 |
| Provider Name | Kathleen B Hurley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063502466 PECOS PAC ID: 8921130196 Enrollment ID: I20100723000356 |
| Provider Name | David M Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023393469 PECOS PAC ID: 0042486177 Enrollment ID: I20111220000606 |
| Provider Name | Nancie Kenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366720831 PECOS PAC ID: 1658534268 Enrollment ID: I20120518000017 |
| Provider Name | Sarojini S Qasba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326233362 PECOS PAC ID: 6507097227 Enrollment ID: I20140324000124 |
| Provider Name | Cam Tu T Vu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821362617 PECOS PAC ID: 2860612470 Enrollment ID: I20141002001506 |
| Provider Name | Maria Castineira Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730382599 PECOS PAC ID: 9133341928 Enrollment ID: I20141111001688 |
| Provider Name | David L Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285935916 PECOS PAC ID: 8527239318 Enrollment ID: I20150515001700 |
| Provider Name | Lisa C Felker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912325903 PECOS PAC ID: 1759684905 Enrollment ID: I20160121000746 |
| Provider Name | Rakesh K Bansil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811982499 PECOS PAC ID: 6800867839 Enrollment ID: I20171205000269 |
| Provider Name | Effie Pinkrah Sevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083103428 PECOS PAC ID: 7416202247 Enrollment ID: I20180620001173 |
| Provider Name | Claudia Camargo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497108260 PECOS PAC ID: 0749577989 Enrollment ID: I20180919001821 |
| Provider Name | Masiel A Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036238 PECOS PAC ID: 8022362896 Enrollment ID: I20181114000542 |
| Provider Name | Ana-maria Parra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639540776 PECOS PAC ID: 3779819461 Enrollment ID: I20190802000710 |
| Provider Name | Dianne Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003113739 PECOS PAC ID: 7618332933 Enrollment ID: I20230420000845 |
| Provider Name | Bernadette Cosgrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104597327 PECOS PAC ID: 9032558515 Enrollment ID: I20240417000034 |
| Provider Name | Jeffrey Lee Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306299094 PECOS PAC ID: 7719423243 Enrollment ID: I20240722000230 |
| Provider Name | Mary Tiernan Brough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356438071 PECOS PAC ID: 4587100383 Enrollment ID: I20240729000312 |
| Provider Name | Lewis E Nordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174664924 PECOS PAC ID: 6800860065 Enrollment ID: I20240731000180 |
| Provider Name | Manuel E. Calero, Jr. |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063542017 PECOS PAC ID: 6305383910 Enrollment ID: I20240731004396 |
| Provider Name | Melissa Anne Alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396112868 PECOS PAC ID: 5799222311 Enrollment ID: I20240731004720 |
| Provider Name | Ka Y Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083152193 PECOS PAC ID: 7214474535 Enrollment ID: I20240805002652 |
| Provider Name | Elizabeth Ann Loftus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457586091 PECOS PAC ID: 7719426279 Enrollment ID: I20240828001622 |
| Provider Name | Evan Timberlake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245989136 PECOS PAC ID: 8820537160 Enrollment ID: I20240829003582 |
| Provider Name | Cynthia Moya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477911212 PECOS PAC ID: 5092254219 Enrollment ID: I20240830002431 |
| Provider Name | Elizabeth Mary Emen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710402383 PECOS PAC ID: 8123568946 Enrollment ID: I20240908000032 |
| Provider Name | David Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427471192 PECOS PAC ID: 5294276291 Enrollment ID: I20240918000462 |
| Provider Name | Stephanie Lianee Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770011744 PECOS PAC ID: 8224579180 Enrollment ID: I20240918003017 |
| Provider Name | Ronald E Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639763634 PECOS PAC ID: 4789125378 Enrollment ID: I20240923003824 |
| Provider Name | Freydun Fred Goudarznia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023148780 PECOS PAC ID: 3072054519 Enrollment ID: I20240924001790 |
| Provider Name | Juliet Al-hakim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861810657 PECOS PAC ID: 8123569662 Enrollment ID: I20240924001967 |
| Provider Name | Paula R Sponaugle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972787802 PECOS PAC ID: 5395286835 Enrollment ID: I20240924002037 |
| Provider Name | James Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629467758 PECOS PAC ID: 8022559582 Enrollment ID: I20240924002450 |
| Provider Name | Carolyn Mcchesney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821414699 PECOS PAC ID: 9133650237 Enrollment ID: I20240930003984 |
| Provider Name | Mercede Csw Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720426232 PECOS PAC ID: 5395276380 Enrollment ID: I20241001003514 |
| Provider Name | Colin Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700247293 PECOS PAC ID: 7416488416 Enrollment ID: I20241001003919 |
| Provider Name | Margaret Helene Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720495211 PECOS PAC ID: 5395276802 Enrollment ID: I20241008000654 |
| Provider Name | Agustina Rius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679190946 PECOS PAC ID: 1355872805 Enrollment ID: I20241008002097 |
| Provider Name | Jannel Thomas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457944035 PECOS PAC ID: 5698206019 Enrollment ID: I20241009000766 |
| Provider Name | Melissa Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457979486 PECOS PAC ID: 5799216123 Enrollment ID: I20241009001224 |
| Provider Name | Ericka Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801352620 PECOS PAC ID: 6901337393 Enrollment ID: I20241009003990 |
| Provider Name | Manuela Mbouma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851941256 PECOS PAC ID: 7810429248 Enrollment ID: I20241010001010 |
| Provider Name | Kenneth G Muthee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194442558 PECOS PAC ID: 4183084734 Enrollment ID: I20241015003020 |
| Provider Name | Aimee Ochoa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013534775 PECOS PAC ID: 2365974862 Enrollment ID: I20241022000244 |
| Provider Name | Gustavo Alberto Goldstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396858072 PECOS PAC ID: 2961934476 Enrollment ID: I20241022000674 |
| Provider Name | Deborah Marlene Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477101384 PECOS PAC ID: 8921530452 Enrollment ID: I20241022001551 |
| Provider Name | Karen Crist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336420405 PECOS PAC ID: 1850823345 Enrollment ID: I20241022004112 |
| Provider Name | Marcie Ament |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699436675 PECOS PAC ID: 2769915818 Enrollment ID: I20241028001702 |
| Provider Name | Rhoda Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962115709 PECOS PAC ID: 9931632742 Enrollment ID: I20241101000360 |
| Provider Name | Huei-chun Lu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093133985 PECOS PAC ID: 4789117474 Enrollment ID: I20241104000050 |
| Provider Name | Linda Doering |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255742359 PECOS PAC ID: 6800329418 Enrollment ID: I20241104001238 |
| Provider Name | Caitlin Greaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033537386 PECOS PAC ID: 2567803539 Enrollment ID: I20241104002757 |
| Provider Name | Stanislav S Malov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093716854 PECOS PAC ID: 2961534474 Enrollment ID: I20241105002463 |
| Provider Name | Esther Vanessa Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063030336 PECOS PAC ID: 1355875824 Enrollment ID: I20241107000740 |
| Provider Name | Emily Priscilla Houck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104289842 PECOS PAC ID: 2365976735 Enrollment ID: I20241107001114 |
| Provider Name | Tammy Louise Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225520893 PECOS PAC ID: 4880128172 Enrollment ID: I20241108002062 |
| Provider Name | Gisela Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770037335 PECOS PAC ID: 4981138740 Enrollment ID: I20241115001825 |
| Provider Name | April Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861748998 PECOS PAC ID: 2466988241 Enrollment ID: I20241204002690 |
Luna Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8720 Georgia Ave Ste 205, Silver Spring, MD 20910 Phone: 301-679-6033 Fax: 888-552-0363 | |
Heartforza Mental Wellness & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11320 King George Dr, Silver Spring, MD 20902 Phone: 571-356-9626 | |
Medstar Medical Group Ii Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 N Leisure World Blvd, Silver Spring, MD 20906 Phone: 301-598-1590 | |
Pinnacle Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13244 Musicmaster Dr, Silver Spring, MD 20904 Phone: 340-370-8705 | |
Stepping Stone Treatment Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9652 Mt. Pisgah Road, Silver Spring, MD 20903 Phone: 301-445-4250 | |
Threshold Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1398 Lamberton Dr, Silver Spring, MD 20902 Phone: 301-754-1102 Fax: 301-754-1690 | |
A Village Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Pershing Dr Ste 202, Silver Spring, MD 20910 Phone: 301-328-7162 |