| Villa Maria Behavioral Health Services Of Lansdowne | |
|
2700 Washington Avenue Baltimore MD 21227-3218 | |
| (410) 368-3984 | |
| Not Available |
| Full Name | Villa Maria Behavioral Health Services Of Lansdowne |
|---|---|
| Speciality | Clinic/Center |
| Location | 2700 Washington Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Gloria Reeves (A/R AND BILLING MGR) |
| Authorized Official Contact | 6676002249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Maria Behavioral Health Services Of Lansdowne 2300 Dulaney Valley Rd Timonium MD 21093-2739 Ph: (667) 600-2249 | Villa Maria Behavioral Health Services Of Lansdowne 2700 Washington Avenue Baltimore MD 21227-3218 Ph: (410) 368-3984 |
| NPI Number | 1073639159 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 8527101351 |
|---|---|
| Medicare Enrollment ID | O20170703001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073639159 | NPI | - | NPPES |
| 110171410 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ronald F Means |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104988393 PECOS PAC ID: 5799757886 Enrollment ID: I20040810000175 |
| Provider Name | William Miltenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285895656 PECOS PAC ID: 1759444615 Enrollment ID: I20090120000588 |
| Provider Name | Jean Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063471134 PECOS PAC ID: 5698669034 Enrollment ID: I20120313000490 |
| Provider Name | Enrique I Oviedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255534756 PECOS PAC ID: 2769644764 Enrollment ID: I20120509000422 |
| Provider Name | Melanie C Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757835 PECOS PAC ID: 5890917231 Enrollment ID: I20141119001115 |
| Provider Name | Peter Pourzand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149836 PECOS PAC ID: 1850690108 Enrollment ID: I20160509000873 |
| Provider Name | Taylor P Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013231976 PECOS PAC ID: 8729344833 Enrollment ID: I20171106002424 |
| Provider Name | Holly B Law |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841514585 PECOS PAC ID: 8123384260 Enrollment ID: I20171107000384 |
| Provider Name | Crystal K Condry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083954986 PECOS PAC ID: 8426316944 Enrollment ID: I20171211000977 |
| Provider Name | Karla S Diehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730695008 PECOS PAC ID: 3072875731 Enrollment ID: I20180319000558 |
| Provider Name | Rebecca F Wrotny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033622360 PECOS PAC ID: 2163779984 Enrollment ID: I20180724003074 |
| Provider Name | Sarah S Thayil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932460490 PECOS PAC ID: 7911147541 Enrollment ID: I20181107000053 |
| Provider Name | Ewere O Osian-dugan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639494057 PECOS PAC ID: 8921352881 Enrollment ID: I20181112001499 |
| Provider Name | Emily H Winicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750889960 PECOS PAC ID: 8527309913 Enrollment ID: I20190412000211 |
| Provider Name | Joy A Reckley Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770569477 PECOS PAC ID: 9537400809 Enrollment ID: I20190415001507 |
| Provider Name | Amie R Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588133029 PECOS PAC ID: 0345570628 Enrollment ID: I20190930002264 |
| Provider Name | Cynthia E Grosberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932676905 PECOS PAC ID: 8123359940 Enrollment ID: I20191009001784 |
| Provider Name | Jade L Bean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003134362 PECOS PAC ID: 9739411562 Enrollment ID: I20191029001417 |
| Provider Name | Chinedu O Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700102340 PECOS PAC ID: 3274782016 Enrollment ID: I20191029002497 |
| Provider Name | Caroline D Brozyna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154687986 PECOS PAC ID: 5294033478 Enrollment ID: I20191101001660 |
| Provider Name | Dana Renee Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285103044 PECOS PAC ID: 4981022290 Enrollment ID: I20200918001348 |
| Provider Name | Tina M Hyett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255925798 PECOS PAC ID: 4284041021 Enrollment ID: I20210324000153 |
| Provider Name | Melissa Nicole Towle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720640725 PECOS PAC ID: 4486062155 Enrollment ID: I20210419000242 |
| Provider Name | Lindsey Dantzler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437627205 PECOS PAC ID: 0244630002 Enrollment ID: I20210615003752 |
| Provider Name | Jemima Pierre-jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091852 PECOS PAC ID: 5496151615 Enrollment ID: I20210913002916 |
| Provider Name | Anna Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427526961 PECOS PAC ID: 9335545581 Enrollment ID: I20210914000370 |
| Provider Name | Ashley Swann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336617158 PECOS PAC ID: 5092112490 Enrollment ID: I20210928002649 |
| Provider Name | Kimberly M Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104394584 PECOS PAC ID: 1254724792 Enrollment ID: I20220207000708 |
| Provider Name | Chentell Mcintosh Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174091656 PECOS PAC ID: 7214320456 Enrollment ID: I20220210000688 |
| Provider Name | Caitlin Marie Meehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033688304 PECOS PAC ID: 7810384468 Enrollment ID: I20220428001584 |
| Provider Name | Nina Ungar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811466550 PECOS PAC ID: 2062892169 Enrollment ID: I20220707001215 |
| Provider Name | Yadira Alonso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275825754 PECOS PAC ID: 9931402344 Enrollment ID: I20221130002426 |
| Provider Name | Sara Reich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508428509 PECOS PAC ID: 2769854272 Enrollment ID: I20230209002329 |
| Provider Name | Jessica Ann Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124622014 PECOS PAC ID: 2163883752 Enrollment ID: I20230728002707 |
| Provider Name | Sarah E Bussard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558843565 PECOS PAC ID: 5294198214 Enrollment ID: I20230823004272 |
| Provider Name | Marcalene Nicole Dare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467076745 PECOS PAC ID: 6901260074 Enrollment ID: I20230908001402 |
| Provider Name | Alyssa Beda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578068201 PECOS PAC ID: 3274889134 Enrollment ID: I20231012002155 |
| Provider Name | Karen Homann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578253886 PECOS PAC ID: 9234585456 Enrollment ID: I20231025000213 |
| Provider Name | Gulafsheen Jabbar Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316437247 PECOS PAC ID: 1759639172 Enrollment ID: I20231121000790 |
| Provider Name | Caroline Leigh Unger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720677560 PECOS PAC ID: 1850749177 Enrollment ID: I20231128000970 |
| Provider Name | Erin Christine Moyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164693925 PECOS PAC ID: 4789034646 Enrollment ID: I20231219002140 |
| Provider Name | Katherine Maureen Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275225823 PECOS PAC ID: 7719337773 Enrollment ID: I20240103002096 |
| Provider Name | Caitlin Palank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396353710 PECOS PAC ID: 3274984554 Enrollment ID: I20240111000791 |
| Provider Name | Amanda Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649748856 PECOS PAC ID: 0648623074 Enrollment ID: I20240201000599 |
| Provider Name | Olivia Violet Oates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316696594 PECOS PAC ID: 4981047065 Enrollment ID: I20240206000616 |
| Provider Name | Liana Claire Vadala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043789597 PECOS PAC ID: 1658715867 Enrollment ID: I20240215002474 |
| Provider Name | Laura Virginia Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497272793 PECOS PAC ID: 5597109603 Enrollment ID: I20240216002007 |
| Provider Name | John Zachariah Windsor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558914069 PECOS PAC ID: 5294179933 Enrollment ID: I20240221001180 |
| Provider Name | Sonia Kay Mccarthy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467100602 PECOS PAC ID: 2466897434 Enrollment ID: I20240229001146 |
| Provider Name | Justin Lowell Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417486101 PECOS PAC ID: 3678918547 Enrollment ID: I20240301000724 |
| Provider Name | Darren Christopher Wiley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518561828 PECOS PAC ID: 2365888419 Enrollment ID: I20240311003683 |
| Provider Name | Angela Jean Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366898082 PECOS PAC ID: 7517303423 Enrollment ID: I20240314000994 |
| Provider Name | Mindy Sue Blank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568076420 PECOS PAC ID: 9830536739 Enrollment ID: I20240327003528 |
| Provider Name | Melinda George |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386019412 PECOS PAC ID: 9931547825 Enrollment ID: I20240411001024 |
| Provider Name | Taylor E Douthitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194212688 PECOS PAC ID: 4981043890 Enrollment ID: I20240411002088 |
| Provider Name | Karle Bean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528760774 PECOS PAC ID: 6305285057 Enrollment ID: I20240415002927 |
| Provider Name | Eileen Delaney Peterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538619689 PECOS PAC ID: 6608215272 Enrollment ID: I20240415004059 |
| Provider Name | Andrea Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205353521 PECOS PAC ID: 7517307556 Enrollment ID: I20240424003308 |
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Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
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