| Ced Pa | |
|
101 Schilling Road Suite 40a Hunt Valley MD 21031-7739 | |
| (410) 427-3900 | |
| (410) 938-8461 |
| Full Name | Ced Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 Schilling Road, Hunt Valley, Maryland |
| Authorized Official Name and Position | Harry A Brandt (DIRECTOR) |
| Authorized Official Contact | 4109385252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ced Pa 101 Schilling Rd Ste 40a Hunt Valley MD 21031-1137 Ph: (410) 938-5252 | Ced Pa 101 Schilling Road Suite 40a Hunt Valley MD 21031-7739 Ph: (410) 427-3900 |
| NPI Number | 1659484400 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Medicare PECOS PAC ID | 7315832573 |
|---|---|
| Medicare Enrollment ID | O20040217000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659484400 | NPI | - | NPPES |
| 190921500 | Medicaid | MD | |
| K522CE | Other | CAREFIRST |
| Provider Name | Robert Johh Riley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871608562 PECOS PAC ID: 3779576004 Enrollment ID: I20040405000477 |
| Provider Name | Mohammad Haerian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811915572 PECOS PAC ID: 4789621954 Enrollment ID: I20050411000312 |
| Provider Name | Marina V Needham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467655928 PECOS PAC ID: 6406945674 Enrollment ID: I20080904000440 |
| Provider Name | Tracy Kuniega-pietrzak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174625172 PECOS PAC ID: 7214095512 Enrollment ID: I20081015000024 |
| Provider Name | Steven F Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831114594 PECOS PAC ID: 8426241910 Enrollment ID: I20101015000915 |
| Provider Name | Harry A Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891720181 PECOS PAC ID: 3274428438 Enrollment ID: I20101019000422 |
| Provider Name | David M Roth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942235338 PECOS PAC ID: 2860688926 Enrollment ID: I20101201000628 |
| Provider Name | Amy E. Gooding |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053692970 PECOS PAC ID: 9638341043 Enrollment ID: I20111007000066 |
| Provider Name | Charles W Hicks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558484493 PECOS PAC ID: 8628244514 Enrollment ID: I20111227000037 |
| Provider Name | Jill A Burgholzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538440862 PECOS PAC ID: 2365698214 Enrollment ID: I20120808000363 |
| Provider Name | Kamala D Via |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790030500 PECOS PAC ID: 8628221496 Enrollment ID: I20130102000253 |
| Provider Name | Lori Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356652663 PECOS PAC ID: 6901035658 Enrollment ID: I20140208000413 |
| Provider Name | Kimberly P Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659385193 PECOS PAC ID: 7214252667 Enrollment ID: I20150206001229 |
| Provider Name | Beth S Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083000103 PECOS PAC ID: 9638490543 Enrollment ID: I20150604000022 |
| Provider Name | Joy H Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154620540 PECOS PAC ID: 7911210851 Enrollment ID: I20150721001353 |
| Provider Name | Patricia M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497096762 PECOS PAC ID: 6800105032 Enrollment ID: I20151028002818 |
| Provider Name | Kabrina Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681109 PECOS PAC ID: 9133413966 Enrollment ID: I20160802002033 |
| Provider Name | Terri Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598797649 PECOS PAC ID: 3173804119 Enrollment ID: I20170105000220 |
| Provider Name | Sarah Fraim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184096430 PECOS PAC ID: 2668737875 Enrollment ID: I20180517000902 |
| Provider Name | Michael D. Cannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902223118 PECOS PAC ID: 4789983958 Enrollment ID: I20180523000246 |
| Provider Name | Kaitlin Slaven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457747230 PECOS PAC ID: 8729320510 Enrollment ID: I20190426000579 |
| Provider Name | Mary O Cumming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548503790 PECOS PAC ID: 8527359827 Enrollment ID: I20200129000735 |
| Provider Name | Helen Karagiozis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497276158 PECOS PAC ID: 7719313584 Enrollment ID: I20200214001804 |
| Provider Name | Lisa Gartrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497363840 PECOS PAC ID: 5799104964 Enrollment ID: I20201008000134 |
| Provider Name | Grace Serafini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962013425 PECOS PAC ID: 0244640399 Enrollment ID: I20201102000860 |
| Provider Name | Leanna Foglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346907342 PECOS PAC ID: 8325432669 Enrollment ID: I20220302000613 |
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