Juspen Behavioral Associates. | |
11703 Amer Ct Fort Washingtion MD 20744-2164 | |
(301) 702-0047 | |
Not Available |
Full Name | Juspen Behavioral Associates. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 11703 Amer Ct, Fort Washingtion, Maryland |
Authorized Official Name and Position | Judie Johnson (CEO) |
Authorized Official Contact | 3017020047 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Juspen Behavioral Associates. 11703 Amer Ct Fort Washingtion MD 20744-2164 Ph: (301) 702-0047 | Juspen Behavioral Associates. 11703 Amer Ct Fort Washingtion MD 20744-2164 Ph: (301) 702-0047 |
NPI Number | 1669015145 |
---|---|
Provider Enumeration Date | 10/28/2019 |
Last Update Date | 10/28/2019 |
Medicare PECOS PAC ID | 8426485152 |
---|---|
Medicare Enrollment ID | O20200219000729 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669015145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Tawana Pearl Tucker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336459114 PECOS PAC ID: 5193796928 Enrollment ID: I20040804000861 |
Provider Name | Spencer F Johnson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063579779 PECOS PAC ID: 8123059946 Enrollment ID: I20080924000112 |
Provider Name | Raymond A Ofe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003168964 PECOS PAC ID: 6204149693 Enrollment ID: I20150714001538 |
Provider Name | Nji J Fru |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275893794 PECOS PAC ID: 8224374319 Enrollment ID: I20190610000895 |
Provider Name | Toni Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790333078 PECOS PAC ID: 2961839816 Enrollment ID: I20200305001676 |
Provider Name | Quinta Manenju |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629323464 PECOS PAC ID: 1052722865 Enrollment ID: I20201201000085 |
Provider Name | Aminata B Kamara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558942995 PECOS PAC ID: 5799170734 Enrollment ID: I20220310000016 |
Provider Name | Marcia Burrell Odeyemi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922759570 PECOS PAC ID: 9335516822 Enrollment ID: I20221114001822 |