| Consultation & Crisis Intervention Associates, Llc | |
|
6565 N Charles St Ppe# 211 Baltimore MD 21204-6800 | |
| (443) 849-2369 | |
| (443) 849-2248 |
| Full Name | Consultation & Crisis Intervention Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6565 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Rahsaan Lateef Lindsey (PHYSICIAN) |
| Authorized Official Contact | 4438492369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultation & Crisis Intervention Associates, Llc 6565 N Charles St Ppe# 211 Baltimore MD 21204-6800 Ph: (443) 849-2369 | Consultation & Crisis Intervention Associates, Llc 6565 N Charles St Ppe# 211 Baltimore MD 21204-6800 Ph: (443) 849-2369 |
| NPI Number | 1184909780 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/14/2011 |
| Medicare PECOS PAC ID | 1557528387 |
|---|---|
| Medicare Enrollment ID | O20120207000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184909780 | NPI | - | NPPES |
| Provider Name | Jennifer Bunkley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265677009 PECOS PAC ID: 4284618539 Enrollment ID: I20040615001206 |
| Provider Name | Anthony A Chico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508965930 PECOS PAC ID: 2163441254 Enrollment ID: I20051117000765 |
| Provider Name | Peter M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659516664 PECOS PAC ID: 5092878892 Enrollment ID: I20090105000459 |
| Provider Name | Rahsaan L Lindsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245400928 PECOS PAC ID: 8123155710 Enrollment ID: I20100430000400 |
| Provider Name | Nicole T Newhouse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255647939 PECOS PAC ID: 3476740812 Enrollment ID: I20110111000805 |
| Provider Name | Enrique I Oviedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255534756 PECOS PAC ID: 2769644764 Enrollment ID: I20120509000422 |
| Provider Name | Robert T Paine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780974345 PECOS PAC ID: 1759531882 Enrollment ID: I20150827001985 |
| Provider Name | Lindsay D Holbein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760852727 PECOS PAC ID: 2466752431 Enrollment ID: I20151123002168 |
| Provider Name | Radha V Gholkar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346401924 PECOS PAC ID: 5799056123 Enrollment ID: I20170803002366 |
| Provider Name | Yaakov Shugarman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023594017 PECOS PAC ID: 9032526736 Enrollment ID: I20210325000085 |
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