| None | |
|
3200 Eastern Ave Baltimore MD 21224-4010 | |
| (410) 522-1181 | |
| (410) 522-1182 |
| Full Name | None |
|---|---|
| Speciality | Clinic/Center |
| Location | 3200 Eastern Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Harvey J.d. Brown Ph.d. (DIRECTOR) |
| Authorized Official Contact | 4105221181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| None 3200 Eastern Ave Baltimore MD 21224-4010 Ph: (410) 522-1181 | None 3200 Eastern Ave Baltimore MD 21224-4010 Ph: (410) 522-1181 |
| NPI Number | 1851336937 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/24/2017 |
| Medicare PECOS PAC ID | 2860458783 |
|---|---|
| Medicare Enrollment ID | O20041202000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851336937 | NPI | - | NPPES |
| 405159900 | Medicaid | MD |
| Provider Name | Agneta M E Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558476341 PECOS PAC ID: 0941266878 Enrollment ID: I20041229000913 |
| Provider Name | Marjorie A Deck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336242742 PECOS PAC ID: 5799786182 Enrollment ID: I20070129000119 |
| Provider Name | Kevin B Hanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942412234 PECOS PAC ID: 2062513302 Enrollment ID: I20070731000140 |
| Provider Name | Joyce B Neale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851583736 PECOS PAC ID: 4880786003 Enrollment ID: I20070817000324 |
| Provider Name | Michael Horan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215098728 PECOS PAC ID: 4789575291 Enrollment ID: I20120928000035 |
| Provider Name | Louisa Footman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386974558 PECOS PAC ID: 0244524817 Enrollment ID: I20160804000078 |
| Provider Name | Jeffrey Aviles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659726834 PECOS PAC ID: 9133403769 Enrollment ID: I20170228000301 |
| Provider Name | Carmen D Dematteo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881027878 PECOS PAC ID: 0446509657 Enrollment ID: I20180822000380 |
| Provider Name | Rachel M Muniz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063668036 PECOS PAC ID: 1355680075 Enrollment ID: I20190225001373 |
| Provider Name | Gabriella N Fimiani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134736812 PECOS PAC ID: 5597175554 Enrollment ID: I20201102001866 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |