| Harford-belair Community Mental Health Center, Inc. | |
|
4308 Harford Rd Baltimore MD 21214-3116 | |
| (410) 426-5650 | |
| (410) 426-5143 |
| Full Name | Harford-belair Community Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4308 Harford Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Larry E. Alessi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4104265650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harford-belair Community Mental Health Center, Inc. 4308 Harford Rd Baltimore MD 21214-3116 Ph: (410) 426-5650 | Harford-belair Community Mental Health Center, Inc. 4308 Harford Rd Baltimore MD 21214-3116 Ph: (410) 426-5650 |
| NPI Number | 1801832852 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 07/24/2014 |
| Medicare PECOS PAC ID | 5799838850 |
|---|---|
| Medicare Enrollment ID | O20090806000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801832852 | NPI | - | NPPES |
| 266641300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8625 (Maryland) | Primary |
| Provider Name | Larry E Alessi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902860596 PECOS PAC ID: 1557374527 Enrollment ID: I20060714000139 |
| Provider Name | Gloria Nkiru Nnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803550 PECOS PAC ID: 1355735689 Enrollment ID: I20220302000043 |
| Provider Name | Natalie S Beaty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134546062 PECOS PAC ID: 0446473672 Enrollment ID: I20220308000657 |
| Provider Name | Opemipo Ogeyingbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033868153 PECOS PAC ID: 9537540869 Enrollment ID: I20220727003253 |
| Provider Name | Elizabeth Omopariola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727223 PECOS PAC ID: 4385028174 Enrollment ID: I20220829000118 |
| Provider Name | Juliet Kasozi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083370456 PECOS PAC ID: 4385018092 Enrollment ID: I20230321000662 |
| Provider Name | John Kanithi Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023721792 PECOS PAC ID: 9830550334 Enrollment ID: I20230801000085 |
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