| Committed To Change, P.c. | |
|
200 Glenn St Ste 302 Cumberland MD 21502-2583 | |
| (240) 580-1919 | |
| (240) 362-7409 |
| Full Name | Committed To Change, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 Glenn St Ste 302, Cumberland, Maryland |
| Authorized Official Name and Position | Rajendra Lowtan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2405801919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Committed To Change, P.c. 200 Glenn St Ste 302 Cumberland MD 21502-2583 Ph: (240) 580-1919 | Committed To Change, P.c. 200 Glenn St Ste 302 Cumberland MD 21502-2583 Ph: (240) 580-1919 |
| NPI Number | 1699097378 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 07/21/2022 |
| Certification Date | 11/10/2020 |
| Medicare PECOS PAC ID | 0840440673 |
|---|---|
| Medicare Enrollment ID | O20121101000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699097378 | NPI | - | NPPES |
| 421394701 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0058483 (Maryland) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rajendra Lowtan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467474049 PECOS PAC ID: 8224920012 Enrollment ID: I20040326000621 |
| Provider Name | Trina P Redmond-matz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184873622 PECOS PAC ID: 8921149949 Enrollment ID: I20100112000658 |
| Provider Name | Amy Alyssa Lander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578090700 PECOS PAC ID: 8820326184 Enrollment ID: I20190823001784 |
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