| Ime Behavioral Health | |
|
8850 Stanford Blvd Ste 1950 Columbia MD 21045-4889 | |
| (240) 512-0141 | |
| (240) 512-0151 |
| Full Name | Ime Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 8850 Stanford Blvd Ste 1950, Columbia, Maryland |
| Authorized Official Name and Position | Erica Dixon (CLINICAL THERPIST) |
| Authorized Official Contact | 2405120141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ime Behavioral Health 8850 Stanford Blvd Ste 1950 Columbia MD 21045-4889 Ph: () - | Ime Behavioral Health 8850 Stanford Blvd Ste 1950 Columbia MD 21045-4889 Ph: (240) 512-0141 |
| NPI Number | 1487184966 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 2163780438 |
|---|---|
| Medicare Enrollment ID | O20171213002823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487184966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Debra A Scrandis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740623800 PECOS PAC ID: 5698754786 Enrollment ID: I20040714000060 |
| Provider Name | Indrani Mookerjee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508804931 PECOS PAC ID: 6002851300 Enrollment ID: I20050627001408 |
| Provider Name | Ana Cecilia Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790097913 PECOS PAC ID: 8022295922 Enrollment ID: I20110601000712 |
| Provider Name | Matthew D Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114116241 PECOS PAC ID: 5597987958 Enrollment ID: I20141119001991 |
| Provider Name | Shannon E Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174292585 PECOS PAC ID: 5991195646 Enrollment ID: I20211213000091 |
| Provider Name | Alana B Alkire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447963384 PECOS PAC ID: 1850764820 Enrollment ID: I20230222003136 |
| Provider Name | Arlene H Paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003314816 PECOS PAC ID: 8224402979 Enrollment ID: I20230320000866 |
| Provider Name | Kayla S Scrandis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619753563 PECOS PAC ID: 4789039611 Enrollment ID: I20231012003964 |
| Provider Name | Jennifer W Sauers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649749185 PECOS PAC ID: 9335585074 Enrollment ID: I20240315002430 |
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