| Time Organization, Inc | |
|
7310 Ritchie Hwy Ste 100 Glen Burnie MD 21061-3170 | |
| (434) 704-1082 | |
| (434) 749-0221 |
| Full Name | Time Organization, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7310 Ritchie Hwy Ste 100, Glen Burnie, Maryland |
| Authorized Official Name and Position | Lamont Anthony Ellis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4342505784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Time Organization, Inc 2901 Druid Park Dr Suite A202 Baltimore MD 21215-8102 Ph: (410) 225-0062 | Time Organization, Inc 7310 Ritchie Hwy Ste 100 Glen Burnie MD 21061-3170 Ph: (434) 704-1082 |
| NPI Number | 1275877870 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 07/08/2019 |
| Medicare PECOS PAC ID | 8820366271 |
|---|---|
| Medicare Enrollment ID | O20170608000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275877870 | NPI | - | NPPES |
| 408791700 | Medicaid | MD | |
| 421961900 | Medicaid | MD |
| Provider Name | Tanveer Padder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508067398 PECOS PAC ID: 4981790672 Enrollment ID: I20071010000629 |
| Provider Name | Ashley Kristy Kansinally |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255801213 PECOS PAC ID: 8628452091 Enrollment ID: I20220902000905 |
| Provider Name | Ellen Regina Schramm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376022459 PECOS PAC ID: 1153706882 Enrollment ID: I20220916001397 |
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