| Frederick Behavioral Health Services, Llc | |
|
5100 Buckeystown Pike Ste 250 Frederick MD 21704-8344 | |
| (301) 321-8245 | |
| (301) 238-7915 |
| Full Name | Frederick Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5100 Buckeystown Pike Ste 250, Frederick, Maryland |
| Authorized Official Name and Position | Thomas William Colligan (PRINCIPAL OWNER) |
| Authorized Official Contact | 3013218245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Behavioral Health Services, Llc 5100 Buckeystown Pike Ste 250 Frederick MD 21704-8344 Ph: (301) 321-8245 | Frederick Behavioral Health Services, Llc 5100 Buckeystown Pike Ste 250 Frederick MD 21704-8344 Ph: (301) 321-8245 |
| NPI Number | 1780363390 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 06/29/2025 |
| Certification Date | 06/29/2025 |
| Medicare PECOS PAC ID | 1456873249 |
|---|---|
| Medicare Enrollment ID | O20250321000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780363390 | NPI | - | NPPES |
| Provider Name | Thomas Colligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316276900 PECOS PAC ID: 9133256266 Enrollment ID: I20100422000132 |
| Provider Name | Insley Schaden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598357691 PECOS PAC ID: 4880009802 Enrollment ID: I20210224001201 |
| Provider Name | Jessica Schuhly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306479621 PECOS PAC ID: 9032567177 Enrollment ID: I20231129002739 |
| Provider Name | Alexandra Christine Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619628740 PECOS PAC ID: 4385087378 Enrollment ID: I20240206004839 |
| Provider Name | Meagan L. Herman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437553880 PECOS PAC ID: 7315380037 Enrollment ID: I20240209002763 |
| Provider Name | Crystal Lynn Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578130837 PECOS PAC ID: 4880039692 Enrollment ID: I20240304000938 |
| Provider Name | Susan Mary Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699408559 PECOS PAC ID: 7416473889 Enrollment ID: I20250429001338 |
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