| Medop Behavioral Health Associates Of Maryland Pc | |
|
7 Saint Paul St Suite 820 Baltimore MD 21202-1626 | |
| (800) 370-3651 | |
| (860) 510-0020 |
| Full Name | Medop Behavioral Health Associates Of Maryland Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7 Saint Paul St, Baltimore, Maryland |
| Authorized Official Name and Position | Donna Dooley (CFO) |
| Authorized Official Contact | 8003703651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medop Behavioral Health Associates Of Maryland Pc 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Medop Behavioral Health Associates Of Maryland Pc 7 Saint Paul St Suite 820 Baltimore MD 21202-1626 Ph: (800) 370-3651 |
| NPI Number | 1447203963 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/30/2016 |
| Medicare PECOS PAC ID | 5496650921 |
|---|---|
| Medicare Enrollment ID | O20041111000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447203963 | NPI | - | NPPES |
| Provider Name | Temika L Heyward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730174574 PECOS PAC ID: 3476510819 Enrollment ID: I20041216000813 |
| Provider Name | Cia M Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124276852 PECOS PAC ID: 1951585108 Enrollment ID: I20110413000068 |
| Provider Name | Ella Krupitskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578863312 PECOS PAC ID: 3274714803 Enrollment ID: I20111213000327 |
| Provider Name | Nanah Sesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306171145 PECOS PAC ID: 9830348630 Enrollment ID: I20141219000696 |
| Provider Name | Jessica Benler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326279787 PECOS PAC ID: 1658696869 Enrollment ID: I20170911001922 |
| Provider Name | Laurie E Scheidle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801184171 PECOS PAC ID: 4486826849 Enrollment ID: I20170914004176 |
| Provider Name | Mary Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699761619 PECOS PAC ID: 4183654049 Enrollment ID: I20170921001309 |
| Provider Name | Alimatu Kosnatu Nabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053820621 PECOS PAC ID: 8325305329 Enrollment ID: I20171129003072 |
| Provider Name | Raquel W Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831602085 PECOS PAC ID: 7214295369 Enrollment ID: I20171218002904 |
| Provider Name | Joelle L Frizzera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679584650 PECOS PAC ID: 7113242223 Enrollment ID: I20180822000825 |
| Provider Name | Ruth Ogbans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407487101 PECOS PAC ID: 1557790706 Enrollment ID: I20201102001035 |
| Provider Name | Bern Simo Mukam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841811205 PECOS PAC ID: 8224440144 Enrollment ID: I20201218000431 |
| Provider Name | Margaret Isoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436526 PECOS PAC ID: 9335552009 Enrollment ID: I20210209002094 |
| Provider Name | Laurette Abunaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659968642 PECOS PAC ID: 7315352457 Enrollment ID: I20210223000801 |
| Provider Name | Ebunoluwa Akinyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649803917 PECOS PAC ID: 4981024767 Enrollment ID: I20210318001737 |
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