| Calvert County Mental Health Clinic | |
|
975 Solomons Island Rd N Suite 119 Prince Frederick MD 20678-3917 | |
| (410) 535-5400 | |
| (410) 414-9413 |
| Full Name | Calvert County Mental Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 975 Solomons Island Rd N, Prince Frederick, Maryland |
| Authorized Official Name and Position | Doris Mcdonald (DIRECTOR) |
| Authorized Official Contact | 4105353079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvert County Mental Health Clinic Po Box 980 Prince Frederick MD 20678-0980 Ph: (410) 535-5400 | Calvert County Mental Health Clinic 975 Solomons Island Rd N Suite 119 Prince Frederick MD 20678-3917 Ph: (410) 535-5400 |
| NPI Number | 1609137918 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 08/09/2016 |
| Medicare PECOS PAC ID | 7214188366 |
|---|---|
| Medicare Enrollment ID | O20121119000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609137918 | NPI | - | NPPES |
| 067984 | Other | MD | BEACON HEALTH OPTIONS |
| 420968100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 14170 (Maryland) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 14170 (Maryland) | Secondary |
| Provider Name | Osama M Saleh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093785347 PECOS PAC ID: 1254323298 Enrollment ID: I20040825001340 |
| Provider Name | Richard Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396931002 PECOS PAC ID: 5496700106 Enrollment ID: I20050315001128 |
| Provider Name | Drew Fuller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801808209 PECOS PAC ID: 9234047309 Enrollment ID: I20090701000526 |
| Provider Name | Laurence B Polsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952473845 PECOS PAC ID: 5395931372 Enrollment ID: I20101202000630 |
| Provider Name | Denise L Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215907571 PECOS PAC ID: 7618199308 Enrollment ID: I20141113000680 |
| Provider Name | Clara E Musser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467891135 PECOS PAC ID: 0941518310 Enrollment ID: I20151005001490 |
| Provider Name | Michael Wayne Bridgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821364407 PECOS PAC ID: 7911204938 Enrollment ID: I20160318000098 |
| Provider Name | Chad W Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295084713 PECOS PAC ID: 2365734738 Enrollment ID: I20160705000995 |
| Provider Name | Mary G Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023449642 PECOS PAC ID: 2567687767 Enrollment ID: I20161003001632 |
| Provider Name | Travis W Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316457534 PECOS PAC ID: 5193083947 Enrollment ID: I20171227001928 |
| Provider Name | Jacqueline Regina Elba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558863704 PECOS PAC ID: 6709131428 Enrollment ID: I20180621001058 |
| Provider Name | Sara A Haina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003230442 PECOS PAC ID: 8921332537 Enrollment ID: I20190701001619 |
| Provider Name | Megan Delora Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376062240 PECOS PAC ID: 6406264548 Enrollment ID: I20210409001215 |
| Provider Name | Jesse Tiralla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811413735 PECOS PAC ID: 9931504966 Enrollment ID: I20210830000284 |
| Provider Name | Emma-ann Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922573534 PECOS PAC ID: 4880090703 Enrollment ID: I20210901001032 |
| Provider Name | Katelynn Mae Liptak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659868271 PECOS PAC ID: 1850789801 Enrollment ID: I20211025003282 |
| Provider Name | Karen Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083358162 PECOS PAC ID: 5395122816 Enrollment ID: I20220521000120 |
| Provider Name | Cynthia Diane Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273672 PECOS PAC ID: 4880067636 Enrollment ID: I20230227001906 |
| Provider Name | Carrie Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625096 PECOS PAC ID: 8224402649 Enrollment ID: I20230324001726 |
| Provider Name | Sarah Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043868557 PECOS PAC ID: 3274997705 Enrollment ID: I20230915001988 |
| Provider Name | Sarah Dischner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205473899 PECOS PAC ID: 3375997281 Enrollment ID: I20230926004386 |
| Provider Name | Doris Jean Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245421601 PECOS PAC ID: 9739408204 Enrollment ID: I20231228003175 |
| Provider Name | Angela Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114515749 PECOS PAC ID: 9537510078 Enrollment ID: I20240109001310 |
| Provider Name | Casey Lynn Vendetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609424852 PECOS PAC ID: 6901257450 Enrollment ID: I20240109001635 |
| Provider Name | Diane Mary Pettko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942694278 PECOS PAC ID: 1052762515 Enrollment ID: I20240109002185 |
| Provider Name | James Matthew Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750938783 PECOS PAC ID: 1153772637 Enrollment ID: I20240109002854 |
| Provider Name | Jody Cadotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225497266 PECOS PAC ID: 2860781036 Enrollment ID: I20240111000180 |
| Provider Name | Tonyia Dee Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326237876 PECOS PAC ID: 0840641056 Enrollment ID: I20240111002256 |
| Provider Name | Denise Michelle Dickerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689878936 PECOS PAC ID: 6901249747 Enrollment ID: I20240208001136 |
| Provider Name | Erika G Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841671039 PECOS PAC ID: 4981048238 Enrollment ID: I20240215000302 |
| Provider Name | Erin Elizabeth Wilkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215405824 PECOS PAC ID: 1153765045 Enrollment ID: I20240219003839 |
| Provider Name | Ann L. Ueno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003067067 PECOS PAC ID: 0143665364 Enrollment ID: I20240228000424 |
| Provider Name | Catherine V Letteney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922249879 PECOS PAC ID: 6901241074 Enrollment ID: I20240228002251 |
Transitions Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Baythorne Rd, Prince Frederick, MD 20678 Phone: 410-231-8293 Fax: 443-342-0553 | |
Personalized Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Prince Frederick Blvd Ste 102, Prince Frederick, MD 20678 Phone: 301-862-2505 Fax: 301-862-2548 | |
Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Sherry Ln, Prince Frederick, MD 20678 Phone: 443-968-8331 | |
Southern Maryland Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Solomons Island Rd N Ste 218, Prince Frederick, MD 20678 Phone: 301-863-5797 | |
Center For Children Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 489 Main St, Suite 202, Prince Frederick, MD 20678 Phone: 410-535-3047 Fax: 410-535-3890 | |
Advantage Psychiatric Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 493 Main St, Prince Frederick, MD 20678 Phone: 410-686-3629 Fax: 410-780-7178 | |
Utopia Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Duke St, Prince Frederick, MD 20678 Phone: 301-220-2842 Fax: 301-220-3842 |