| Bridges Behavioral Health & Wellness | |
|
207 N Liberty St Suite B Centreville MD 21617-1022 | |
| (410) 758-8750 | |
| (410) 758-8751 |
| Full Name | Bridges Behavioral Health & Wellness |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 207 N Liberty St, Centreville, Maryland |
| Authorized Official Name and Position | Deborah Lynn Dadds (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4107087626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Behavioral Health & Wellness 207 N Liberty St Suite B Centreville MD 21617-1022 Ph: (410) 758-8750 | Bridges Behavioral Health & Wellness 207 N Liberty St Suite B Centreville MD 21617-1022 Ph: (410) 758-8750 |
| NPI Number | 1205193737 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 09/27/2012 |
| Medicare PECOS PAC ID | 0446409957 |
|---|---|
| Medicare Enrollment ID | O20120927000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205193737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joel H Hassman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669433777 PECOS PAC ID: 4688614894 Enrollment ID: I20050506000519 |
| Provider Name | Alan H Peck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922103829 PECOS PAC ID: 3072542166 Enrollment ID: I20050809000722 |
| Provider Name | Lindy L Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144216094 PECOS PAC ID: 9032144696 Enrollment ID: I20051003000278 |
| Provider Name | Desmond M Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811044092 PECOS PAC ID: 1153479704 Enrollment ID: I20090508000234 |
| Provider Name | Brenda C Scribner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699839076 PECOS PAC ID: 4688724289 Enrollment ID: I20090602000316 |
| Provider Name | Irfan Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568525038 PECOS PAC ID: 1759357494 Enrollment ID: I20100202000629 |
| Provider Name | Laurence Pezor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427055946 PECOS PAC ID: 5294981072 Enrollment ID: I20120809000798 |
| Provider Name | Mary A Dameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467426254 PECOS PAC ID: 6800814062 Enrollment ID: I20140822000902 |
| Provider Name | Deborah L Dadds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669605101 PECOS PAC ID: 6800045311 Enrollment ID: I20151202001751 |
| Provider Name | Rani M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225562937 PECOS PAC ID: 7618245051 Enrollment ID: I20170608000115 |
| Provider Name | Stephen Boersman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578981460 PECOS PAC ID: 4385867878 Enrollment ID: I20170613002238 |
| Provider Name | Jeanette L Metz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528103256 PECOS PAC ID: 6103184767 Enrollment ID: I20180103002051 |
| Provider Name | Carrie L O Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699217646 PECOS PAC ID: 2769897776 Enrollment ID: I20210224000844 |
| Provider Name | Frances H Williams Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669934667 PECOS PAC ID: 3779998711 Enrollment ID: I20210224002347 |
| Provider Name | Ashley E Semans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770176596 PECOS PAC ID: 0749551604 Enrollment ID: I20210412002551 |
| Provider Name | Hazan Cetin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437661790 PECOS PAC ID: 5092197756 Enrollment ID: I20220728001014 |
| Provider Name | Erica L Roszell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861022923 PECOS PAC ID: 8224409388 Enrollment ID: I20230127001375 |
| Provider Name | Sarah Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639959679 PECOS PAC ID: 7810344561 Enrollment ID: I20231117000231 |
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