| Aspen Day Treatment | |
|
1634 Sulphur Spring Rd Baltimore MD 21227-2539 | |
| (410) 242-0920 | |
| (410) 242-0924 |
| Full Name | Aspen Day Treatment |
|---|---|
| Speciality | Clinic/Center |
| Location | 1634 Sulphur Spring Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Jeffrey Lafferman (CEO) |
| Authorized Official Contact | 4102420920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Day Treatment 1634 Sulphur Spring Rd Baltimore MD 21227-2539 Ph: (410) 242-0920 | Aspen Day Treatment 1634 Sulphur Spring Rd Baltimore MD 21227-2539 Ph: (410) 242-0920 |
| NPI Number | 1023366796 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Medicare PECOS PAC ID | 8729160635 |
|---|---|
| Medicare Enrollment ID | O20140218000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023366796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Maryland) | Primary |
| Provider Name | Karen F Meckler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396800959 PECOS PAC ID: 5395724934 Enrollment ID: I20040716000446 |
| Provider Name | Jeffrey A Lafferman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396779385 PECOS PAC ID: 4587550744 Enrollment ID: I20040820000373 |
| Provider Name | Eunice B Woodus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502108 PECOS PAC ID: 6507965506 Enrollment ID: I20070615000146 |
| Provider Name | Christine Bell Lafferman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992771653 PECOS PAC ID: 2163505249 Enrollment ID: I20091104000253 |
| Provider Name | Lauren B Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669808291 PECOS PAC ID: 3173751898 Enrollment ID: I20131231002008 |
| Provider Name | Mark C Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437289089 PECOS PAC ID: 0648407841 Enrollment ID: I20150720000317 |
| Provider Name | Linda Nkongchu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346505252 PECOS PAC ID: 5890057855 Enrollment ID: I20180403001037 |
| Provider Name | Jessica Milone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891357638 PECOS PAC ID: 6709114960 Enrollment ID: I20190826002607 |
| Provider Name | Jaquelyn Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700506029 PECOS PAC ID: 3173995164 Enrollment ID: I20230221003262 |
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