| Therapeutic Superventions, Inc. | |
|
3905 National Dr Ste 230 Burtonsville MD 20866-6101 | |
| (240) 650-0779 | |
| (443) 583-3872 |
| Full Name | Therapeutic Superventions, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3905 National Dr Ste 230, Burtonsville, Maryland |
| Authorized Official Name and Position | Geeta Sarphare (PRESIDENT) |
| Authorized Official Contact | 3012565243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Superventions, Inc. 14373 Howard Rd Dayton MD 21036-1014 Ph: (301) 256-5243 | Therapeutic Superventions, Inc. 3905 National Dr Ste 230 Burtonsville MD 20866-6101 Ph: (240) 650-0779 |
| NPI Number | 1053843029 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 9931486909 |
|---|---|
| Medicare Enrollment ID | O20170428001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053843029 | NPI | - | NPPES |
| Provider Name | Geeta S Sarphare |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104945070 PECOS PAC ID: 9931324803 Enrollment ID: I20140709000873 |
| Provider Name | Jennifer Schwartz-mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225057383 PECOS PAC ID: 6002887700 Enrollment ID: I20230110003279 |
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