| Associated Mental Health Specialists | |
|
110 E Pennsylvania Ave Towson MD 21286-5118 | |
| (410) 583-2222 | |
| (410) 583-2377 |
| Full Name | Associated Mental Health Specialists |
|---|---|
| Speciality | Psychologist |
| Location | 110 E Pennsylvania Ave, Towson, Maryland |
| Authorized Official Name and Position | Roberta Rosenthal (OFFICE MANAGER) |
| Authorized Official Contact | 4105832222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Mental Health Specialists 110 E Pennsylvania Ave Towson MD 21286-5118 Ph: (410) 583-2222 | Associated Mental Health Specialists 110 E Pennsylvania Ave Towson MD 21286-5118 Ph: (410) 583-2222 |
| NPI Number | 1518903905 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 0547225237 |
|---|---|
| Medicare Enrollment ID | O20041122000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518903905 | NPI | - | NPPES |
| 146341100 | Medicaid | MD |
| Provider Name | Susan C Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831127240 PECOS PAC ID: 9335104025 Enrollment ID: I20041122000885 |
| Provider Name | Lori G Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891006201 PECOS PAC ID: 8224223615 Enrollment ID: I20101111000128 |
| Provider Name | Theo Emmanuel Lemaire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952481525 PECOS PAC ID: 6103090832 Enrollment ID: I20111115000643 |
| Provider Name | Lawrence Raymond Fishel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386672871 PECOS PAC ID: 0143388314 Enrollment ID: I20120105000019 |
| Provider Name | Mark Ridderhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437491420 PECOS PAC ID: 0446498794 Enrollment ID: I20130529000364 |
| Provider Name | Megan P Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801167606 PECOS PAC ID: 3375765811 Enrollment ID: I20141117001183 |
| Provider Name | Gayle M Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982940 PECOS PAC ID: 6204179047 Enrollment ID: I20190520001795 |
| Provider Name | Jody S Grodnitzky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760953400 PECOS PAC ID: 1254778822 Enrollment ID: I20240319003014 |
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