| Interdynamics, Inc. | |
|
8181 Professional Pl Ste 200 Landover MD 20785-7219 | |
| (301) 306-4590 | |
| (301) 880-0054 |
| Full Name | Interdynamics, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8181 Professional Pl Ste 200, Landover, Maryland |
| Authorized Official Name and Position | Joan Branch (PRESIDENT/CEO) |
| Authorized Official Contact | 3013064590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interdynamics, Inc. 8181 Professional Pl Ste 200 Landover MD 20785-7219 Ph: (301) 306-4590 | Interdynamics, Inc. 8181 Professional Pl Ste 200 Landover MD 20785-7219 Ph: (301) 306-4590 |
| NPI Number | 1952570343 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 2860670213 |
|---|---|
| Medicare Enrollment ID | O20110707000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952570343 | NPI | - | NPPES |
| Provider Name | Esther C Estwick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245449594 PECOS PAC ID: 4789871344 Enrollment ID: I20101208000454 |
| Provider Name | Samuel A Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689684888 PECOS PAC ID: 4385892389 Enrollment ID: I20120917000729 |
| Provider Name | Patricia Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780966002 PECOS PAC ID: 1951575380 Enrollment ID: I20140823000061 |
| Provider Name | Arnecia G Moody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306251939 PECOS PAC ID: 5294955084 Enrollment ID: I20140929002555 |
| Provider Name | Adetimbo Adediran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679922298 PECOS PAC ID: 4082902937 Enrollment ID: I20161011000913 |
| Provider Name | Orlando R Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477676807 PECOS PAC ID: 7719172246 Enrollment ID: I20201020001053 |
| Provider Name | Fatoumata Niagado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205458676 PECOS PAC ID: 2860804713 Enrollment ID: I20201217000431 |
| Provider Name | Eric T Wande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588323398 PECOS PAC ID: 2264826973 Enrollment ID: I20220223000778 |
| Provider Name | Alieu Daramy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891193595 PECOS PAC ID: 6901290584 Enrollment ID: I20220224000811 |
| Provider Name | Kim Jones-fearing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871521393 PECOS PAC ID: 4082951215 Enrollment ID: I20220322002067 |
| Provider Name | Kristin Yirenkyi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346991387 PECOS PAC ID: 4486033321 Enrollment ID: I20220623000034 |
| Provider Name | Priya Beth Sharma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043828395 PECOS PAC ID: 4880040997 Enrollment ID: I20231026000451 |
| Provider Name | Jacqualine Margaret Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427705003 PECOS PAC ID: 4688018864 Enrollment ID: I20240215001541 |
| Provider Name | Mertine Jermany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235263559 PECOS PAC ID: 5890826648 Enrollment ID: I20240403003362 |
| Provider Name | Stephanie A Lopetegui |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1821770397 PECOS PAC ID: 9335587757 Enrollment ID: I20240404002125 |
| Provider Name | Darryl Coleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164565834 PECOS PAC ID: 4284625039 Enrollment ID: I20240417002783 |
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