| Vesta, Inc. | |
|
3900 Forestville Rd Forestville MD 20747-4715 | |
| (240) 296-6060 | |
| (301) 967-0275 |
| Full Name | Vesta, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3900 Forestville Rd, Forestville, Maryland |
| Authorized Official Name and Position | Jignesh Dalal (CEO) |
| Authorized Official Contact | 2402965930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vesta, Inc. 9301 Annapolis Rd Suite 300 Lanham MD 20706-3125 Ph: (240) 296-5848 | Vesta, Inc. 3900 Forestville Rd Forestville MD 20747-4715 Ph: (240) 296-6060 |
| NPI Number | 1902015936 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/09/2013 |
| Medicare PECOS PAC ID | 3678568375 |
|---|---|
| Medicare Enrollment ID | O20040420000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902015936 | NPI | - | NPPES |
| 260991600 | Medicaid | MD | |
| 741693 | Other | DC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4624 (Maryland) | Primary |
| Provider Name | Uma Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578515706 PECOS PAC ID: 2062537731 Enrollment ID: I20140415001315 |
| Provider Name | Steven Gorozdos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871991455 PECOS PAC ID: 6800111402 Enrollment ID: I20150202000674 |
| Provider Name | Elizabeth J White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710152418 PECOS PAC ID: 6709947922 Enrollment ID: I20160406001054 |
| Provider Name | Kim Levone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487185674 PECOS PAC ID: 3072890961 Enrollment ID: I20170502001145 |
| Provider Name | Alimatu Kosnatu Nabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053820621 PECOS PAC ID: 8325305329 Enrollment ID: I20171129003072 |
| Provider Name | Uchechukwu Ifeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043736846 PECOS PAC ID: 6103189857 Enrollment ID: I20180411002953 |
| Provider Name | Emily R Bucheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639623432 PECOS PAC ID: 1759629819 Enrollment ID: I20191206001491 |
| Provider Name | Kristen L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215295027 PECOS PAC ID: 8820382146 Enrollment ID: I20200527001035 |
| Provider Name | Cindy M Parlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700469699 PECOS PAC ID: 6204235914 Enrollment ID: I20210601000912 |
| Provider Name | Monica M Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912646738 PECOS PAC ID: 2163899907 Enrollment ID: I20221208000356 |
| Provider Name | Sandor Orban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215317532 PECOS PAC ID: 2365812013 Enrollment ID: I20221221002440 |
| Provider Name | Deborah Ann Swanstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124663794 PECOS PAC ID: 2062884521 Enrollment ID: I20230209000365 |
| Provider Name | Yvonne Angela Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104357938 PECOS PAC ID: 6800885930 Enrollment ID: I20230622000639 |
| Provider Name | Daniel E Pfannenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376159194 PECOS PAC ID: 1355796434 Enrollment ID: I20231010000640 |
| Provider Name | Jason Jeffery |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1770794422 PECOS PAC ID: 8628428562 Enrollment ID: I20231219001500 |
| Provider Name | Adrienne Boettinger |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1770127276 PECOS PAC ID: 2567813140 Enrollment ID: I20240108005010 |
| Provider Name | Shelly Mills Mohnkern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649743105 PECOS PAC ID: 4688025034 Enrollment ID: I20240110001003 |
| Provider Name | Cosmin Gheorghe Antonescu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124639133 PECOS PAC ID: 2860843166 Enrollment ID: I20240111001432 |
| Provider Name | Carol Agnes Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356814131 PECOS PAC ID: 2062863251 Enrollment ID: I20240112000075 |
| Provider Name | Sharon Mcnair-washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952730012 PECOS PAC ID: 6406207695 Enrollment ID: I20240116000101 |
| Provider Name | Lisa M Tarpley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740702455 PECOS PAC ID: 6800248402 Enrollment ID: I20240119000386 |
| Provider Name | Ian Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699330175 PECOS PAC ID: 6901258326 Enrollment ID: I20240122000566 |
| Provider Name | Mary Eleanor Miner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528531613 PECOS PAC ID: 0446696249 Enrollment ID: I20240315000736 |
Vesta, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Forestville Rd, Forestville, MD 20747 Phone: 240-296-6060 | |
Basics Group Practice, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7610 Pennsylvania Ave, Suite #203, Forestville, MD 20747 Phone: 301-420-1972 Fax: 301-420-1973 | |
Safe Harbor Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6608 Wilkins Pl, Forestville, MD 20747 Phone: 410-893-4600 Fax: 443-640-4358 | |
Ashes Rising Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6608 Wilkins Pl, Forestville, MD 20747 Phone: 301-765-4747 | |
Basics Group Practice Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7610 Pennsylvania Ave, 103, Forestville, MD 20747 Phone: 443-254-0966 Fax: 301-423-5359 | |
Vesta, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Forestville Rd, Forestville, MD 20747 Phone: 240-296-6060 Fax: 301-967-0275 | |
Affiliated Sante Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7610 Pennsylvania Ave, Suite 203, Forestville, MD 20747 Phone: 301-420-1972 |