| Hefuna Mental Health Wellness Llc | |
|
16220 Frederick Rd Suite 310 Gaithersburg MD 20877-4039 | |
| (301) 345-1022 | |
| (301) 560-5557 |
| Full Name | Hefuna Mental Health Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16220 Frederick Rd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Ahmed Hefuna (PSYCHIATRIST) |
| Authorized Official Contact | 3013451022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hefuna Mental Health Wellness Llc 16220 Frederick Rd Suite 310 Gaithersburg MD 20877-4039 Ph: (301) 345-1022 | Hefuna Mental Health Wellness Llc 16220 Frederick Rd Suite 310 Gaithersburg MD 20877-4039 Ph: (301) 345-1022 |
| NPI Number | 1629470547 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 3577783240 |
|---|---|
| Medicare Enrollment ID | O20141002000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629470547 | NPI | - | NPPES |
| D66576 | Other | MD | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D66576 (Maryland) | Primary |
| Provider Name | Maria C Hammill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235178054 PECOS PAC ID: 8123012689 Enrollment ID: I20050309000187 |
| Provider Name | Todd R Christiansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174542963 PECOS PAC ID: 0042245037 Enrollment ID: I20050928000913 |
| Provider Name | Joshua B Sussal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922212174 PECOS PAC ID: 6204936446 Enrollment ID: I20070717000335 |
| Provider Name | Ahmed Essam Hefuna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760665897 PECOS PAC ID: 3375725930 Enrollment ID: I20120203000299 |
| Provider Name | Lynda L Artusio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841363702 PECOS PAC ID: 2668453440 Enrollment ID: I20141105001888 |
| Provider Name | Carolyn Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124429857 PECOS PAC ID: 4981915873 Enrollment ID: I20150618001925 |
| Provider Name | Jacqueline Nicole Trombley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558747832 PECOS PAC ID: 2860708690 Enrollment ID: I20150825003415 |
| Provider Name | Amy D Hedderman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689953994 PECOS PAC ID: 1759680028 Enrollment ID: I20160509001604 |
| Provider Name | Nicholas S Kopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720097132 PECOS PAC ID: 2961762604 Enrollment ID: I20180129001069 |
| Provider Name | Larry S Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881620789 PECOS PAC ID: 3476526260 Enrollment ID: I20180222002989 |
| Provider Name | Christopher Brian Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578095444 PECOS PAC ID: 3476822180 Enrollment ID: I20180510001688 |
| Provider Name | Olatunji Folawewo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710473087 PECOS PAC ID: 5991053258 Enrollment ID: I20180816000030 |
| Provider Name | Evan N Dickstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942688379 PECOS PAC ID: 2668773474 Enrollment ID: I20181129002552 |
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Pan Asian Volunteer Health Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877 Phone: 240-393-5950 | |
Rochelle Wynne Austrian Ph.d.pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 981 Russell Ave, Gaithersburg, MD 20879 Phone: 301-840-1723 | |
Samorajczyk Psychological Services, Inc Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19205 Seneca Ridge Ct, Gaithersburg, MD 20886 Phone: 301-869-1755 Fax: 410-266-5950 |