Harford Crisis Center, Inc. | |
802 Baltimore Pike Ste A Bel Air MD 21014-4212 | |
(443) 643-3464 | |
(443) 643-3343 |
Full Name | Harford Crisis Center, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 802 Baltimore Pike Ste A, Bel Air, Maryland |
Authorized Official Name and Position | Marcus Thomas Augustus Priolo (CFO) |
Authorized Official Contact | 4436433344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harford Crisis Center, Inc. 520 Upper Chesapeake Dr Ste 405 Bel Air MD 21014-4381 Ph: (443) 643-3464 | Harford Crisis Center, Inc. 802 Baltimore Pike Ste A Bel Air MD 21014-4212 Ph: (443) 643-3464 |
NPI Number | 1508334459 |
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Provider Enumeration Date | 11/08/2018 |
Last Update Date | 06/16/2022 |
Certification Date | 06/16/2022 |
Medicare PECOS PAC ID | 6002726007 |
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Medicare Enrollment ID | O20190424000345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508334459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
251B00000X | Case Management | (* (Not Available)) | Secondary |
Provider Name | Julie Stancliff |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366656340 PECOS PAC ID: 9335041037 Enrollment ID: I20040123000069 |
Provider Name | Lakshmi Prasuna Baddela |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477585941 PECOS PAC ID: 8921039454 Enrollment ID: I20050824001111 |
Provider Name | Safiyyah H Abdul Rahman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669691416 PECOS PAC ID: 6204929474 Enrollment ID: I20070904000376 |
Provider Name | Jennifer G Redding |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659300184 PECOS PAC ID: 5193882645 Enrollment ID: I20090327000037 |
Provider Name | Adam Rosenblatt |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619905239 PECOS PAC ID: 8123150414 Enrollment ID: I20100722000312 |
Provider Name | Richard M Lewis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548208382 PECOS PAC ID: 2163411539 Enrollment ID: I20121121000017 |
Provider Name | Brandon J Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679973382 PECOS PAC ID: 4183846504 Enrollment ID: I20141119000261 |
Provider Name | Katherine Rediger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679829097 PECOS PAC ID: 4688989627 Enrollment ID: I20150819008553 |
Provider Name | Audrey A Forka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780087213 PECOS PAC ID: 0648593855 Enrollment ID: I20151202002038 |
Provider Name | Pamela J Llewellyn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619230539 PECOS PAC ID: 4385947654 Enrollment ID: I20160120000889 |
Provider Name | Constance A Noll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013372705 PECOS PAC ID: 1951606334 Enrollment ID: I20160223001090 |
Provider Name | Lisa R Carchedi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316008659 PECOS PAC ID: 1052476199 Enrollment ID: I20160404000568 |
Provider Name | Abdulhafiz A Ahmed |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508949496 PECOS PAC ID: 9537130729 Enrollment ID: I20160620001325 |
Provider Name | Katharine A Sewell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689199259 PECOS PAC ID: 6002172434 Enrollment ID: I20171117000484 |
Provider Name | Kristle M Fullerton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124583729 PECOS PAC ID: 7810239720 Enrollment ID: I20190424002993 |
Provider Name | Sherry Kizielewicz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801296686 PECOS PAC ID: 7810226776 Enrollment ID: I20190903001576 |
Provider Name | Kathy Bristow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730773425 PECOS PAC ID: 9931592896 Enrollment ID: I20220217000845 |
Provider Name | Michael T Bowling |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851053573 PECOS PAC ID: 3476948571 Enrollment ID: I20220325002130 |
Provider Name | Leeann Carmi Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952650582 PECOS PAC ID: 5991191363 Enrollment ID: I20220412001100 |
Provider Name | Tracy Dale Bearsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770234007 PECOS PAC ID: 8527447580 Enrollment ID: I20220622000134 |
Provider Name | Rachel Gonzalez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588215297 PECOS PAC ID: 8921479742 Enrollment ID: I20230113000933 |
Provider Name | Chanelle Born |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659967651 PECOS PAC ID: 0345602298 Enrollment ID: I20230809004025 |
Provider Name | Sarah Mccarthy |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942603725 PECOS PAC ID: 4688026644 Enrollment ID: I20240116002125 |
Provider Name | William A Peterson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245813641 PECOS PAC ID: 1850743816 Enrollment ID: I20240116002159 |
Provider Name | Peris Kipyab |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1265936074 PECOS PAC ID: 8628420692 Enrollment ID: I20240116002679 |
Provider Name | Perri J Hooper |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962056648 PECOS PAC ID: 9638521529 Enrollment ID: I20240116003340 |
Provider Name | Richette Ragland |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720633423 PECOS PAC ID: 3971955899 Enrollment ID: I20240116004585 |
Provider Name | Kaylin M Honchar |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790388270 PECOS PAC ID: 9739531674 Enrollment ID: I20240117000495 |
Provider Name | Doris S Fair |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659777225 PECOS PAC ID: 4880037225 Enrollment ID: I20240213001630 |
Provider Name | Chiaka Arlia |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588781744 PECOS PAC ID: 6507205473 Enrollment ID: I20240411004869 |
Provider Name | Tracie Young |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215468145 PECOS PAC ID: 7618419672 Enrollment ID: I20240605001490 |
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