| Center For Behavioral Health And Wellness, Llc | |
|
9005 Chevrolet Dr Ste D Ellicott City MD 21042-4035 | |
| (202) 288-2834 | |
| Not Available |
| Full Name | Center For Behavioral Health And Wellness, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9005 Chevrolet Dr Ste D, Ellicott City, Maryland |
| Authorized Official Name and Position | Deepan Chatterjee (OWNER/CEO) |
| Authorized Official Contact | 2022882834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health And Wellness, Llc 9222 Maple Rock Dr Ellicott City MD 21042-1830 Ph: (202) 288-2834 | Center For Behavioral Health And Wellness, Llc 9005 Chevrolet Dr Ste D Ellicott City MD 21042-4035 Ph: (202) 288-2834 |
| NPI Number | 1437822319 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 0345647806 |
|---|---|
| Medicare Enrollment ID | O20210927000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437822319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Deepan Chatterjee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114166170 PECOS PAC ID: 1456409499 Enrollment ID: I20090501000299 |
| Provider Name | Rashidat Adebisi Akinsanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126670 PECOS PAC ID: 8729209333 Enrollment ID: I20141024000389 |
| Provider Name | Mercy Awokunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043888233 PECOS PAC ID: 9739587510 Enrollment ID: I20211008000137 |
| Provider Name | Ifeanyi Olele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194132407 PECOS PAC ID: 9133412794 Enrollment ID: I20240418003223 |
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