| Harford Crisis Center, Inc. | |
|
802 Baltimore Pike Ste A Bel Air MD 21014-4212 | |
| (443) 643-3464 | |
| (443) 643-3343 |
| Full Name | Harford Crisis Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 802 Baltimore Pike Ste A, Bel Air, Maryland |
| Authorized Official Name and Position | Marcus Thomas Augustus Priolo (CFO) |
| Authorized Official Contact | 4436433344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harford Crisis Center, Inc. 520 Upper Chesapeake Dr Ste 405 Bel Air MD 21014-4381 Ph: (443) 643-3464 | Harford Crisis Center, Inc. 802 Baltimore Pike Ste A Bel Air MD 21014-4212 Ph: (443) 643-3464 |
| NPI Number | 1508334459 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 6002726007 |
|---|---|
| Medicare Enrollment ID | O20190424000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508334459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Julie Stancliff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366656340 PECOS PAC ID: 9335041037 Enrollment ID: I20040123000069 |
| Provider Name | Lakshmi Prasuna Baddela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477585941 PECOS PAC ID: 8921039454 Enrollment ID: I20050824001111 |
| Provider Name | Safiyyah H Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669691416 PECOS PAC ID: 6204929474 Enrollment ID: I20070904000376 |
| Provider Name | Jennifer G Redding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659300184 PECOS PAC ID: 5193882645 Enrollment ID: I20090327000037 |
| Provider Name | Adam Rosenblatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619905239 PECOS PAC ID: 8123150414 Enrollment ID: I20100722000312 |
| Provider Name | Meghan Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891086856 PECOS PAC ID: 6507025210 Enrollment ID: I20120315000085 |
| Provider Name | Richard M Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548208382 PECOS PAC ID: 2163411539 Enrollment ID: I20121121000017 |
| Provider Name | Brandon J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973382 PECOS PAC ID: 4183846504 Enrollment ID: I20141119000261 |
| Provider Name | Katherine Rediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679829097 PECOS PAC ID: 4688989627 Enrollment ID: I20150819008553 |
| Provider Name | Audrey A Forka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087213 PECOS PAC ID: 0648593855 Enrollment ID: I20151202002038 |
| Provider Name | Pamela J Llewellyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619230539 PECOS PAC ID: 4385947654 Enrollment ID: I20160120000889 |
| Provider Name | Constance A Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013372705 PECOS PAC ID: 1951606334 Enrollment ID: I20160223001090 |
| Provider Name | Lisa R Carchedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316008659 PECOS PAC ID: 1052476199 Enrollment ID: I20160404000568 |
| Provider Name | Abdulhafiz A Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508949496 PECOS PAC ID: 9537130729 Enrollment ID: I20160620001325 |
| Provider Name | Allison Lucia De Los Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205229986 PECOS PAC ID: 9436439155 Enrollment ID: I20161214001740 |
| Provider Name | Katharine A Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689199259 PECOS PAC ID: 6002172434 Enrollment ID: I20171117000484 |
| Provider Name | Michele April Calvert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184033953 PECOS PAC ID: 0941563290 Enrollment ID: I20180419000196 |
| Provider Name | Kristle M Fullerton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124583729 PECOS PAC ID: 7810239720 Enrollment ID: I20190424002993 |
| Provider Name | Anna Elizabeth Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043669328 PECOS PAC ID: 7416290739 Enrollment ID: I20190529002664 |
| Provider Name | Sherry Kizielewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801296686 PECOS PAC ID: 7810226776 Enrollment ID: I20190903001576 |
| Provider Name | Philip Lembo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669032702 PECOS PAC ID: 7214268853 Enrollment ID: I20191011000772 |
| Provider Name | Erin Elizabeth Vanluven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548690183 PECOS PAC ID: 0345677159 Enrollment ID: I20200217000923 |
| Provider Name | Alison Ann Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003456617 PECOS PAC ID: 7214358001 Enrollment ID: I20200603001045 |
| Provider Name | Kathy Bristow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730773425 PECOS PAC ID: 9931592896 Enrollment ID: I20220217000845 |
| Provider Name | Michael T Bowling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851053573 PECOS PAC ID: 3476948571 Enrollment ID: I20220325002130 |
| Provider Name | Tracy Dale Bearsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770234007 PECOS PAC ID: 8527447580 Enrollment ID: I20220622000134 |
| Provider Name | Erika Patrice Teasley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982337614 PECOS PAC ID: 6103200761 Enrollment ID: I20220831000184 |
| Provider Name | Chanelle Born |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659967651 PECOS PAC ID: 0345602298 Enrollment ID: I20230809004025 |
| Provider Name | Amanda K Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053076117 PECOS PAC ID: 2163873068 Enrollment ID: I20240104002605 |
| Provider Name | Sarah Mccarthy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942603725 PECOS PAC ID: 4688026644 Enrollment ID: I20240116002125 |
| Provider Name | William A Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245813641 PECOS PAC ID: 1850743816 Enrollment ID: I20240116002159 |
| Provider Name | Peris Kipyab |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265936074 PECOS PAC ID: 8628420692 Enrollment ID: I20240116002679 |
| Provider Name | Perri J Hooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962056648 PECOS PAC ID: 9638521529 Enrollment ID: I20240116003340 |
| Provider Name | Richette Ragland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720633423 PECOS PAC ID: 3971955899 Enrollment ID: I20240116004585 |
| Provider Name | Kaylin M Honchar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790388270 PECOS PAC ID: 9739531674 Enrollment ID: I20240117000495 |
| Provider Name | Doris S Fair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659777225 PECOS PAC ID: 4880037225 Enrollment ID: I20240213001630 |
| Provider Name | Chiaka Arlia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588781744 PECOS PAC ID: 6507205473 Enrollment ID: I20240411004869 |
| Provider Name | Tracie Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215468145 PECOS PAC ID: 7618419672 Enrollment ID: I20240605001490 |
| Provider Name | Kathleen L Mauck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235428434 PECOS PAC ID: 2163953696 Enrollment ID: I20241008001238 |
| Provider Name | Patricia Stringfellow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831677731 PECOS PAC ID: 3274067988 Enrollment ID: I20241115004145 |
| Provider Name | Tiffanie Fontaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275124968 PECOS PAC ID: 7012441728 Enrollment ID: I20241116000192 |
| Provider Name | Elizabeth Anne Barwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033920061 PECOS PAC ID: 7517485360 Enrollment ID: I20250515003016 |
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