| Innovative Behavioral Medicine Llc | |
|
801 Wayne Ave Ste G100 Silver Spring MD 20910-4493 | |
| (301) 615-8752 | |
| (240) 660-5460 |
| Full Name | Innovative Behavioral Medicine Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 801 Wayne Ave Ste G100, Silver Spring, Maryland |
| Authorized Official Name and Position | Christopher J Goisse (PSYCHIATRIC MENTAL HEALTH NP) |
| Authorized Official Contact | 3016158752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavioral Medicine Llc 801 Wayne Ave Ste G100 Silver Spring MD 20910-4493 Ph: (301) 615-8752 | Innovative Behavioral Medicine Llc 801 Wayne Ave Ste G100 Silver Spring MD 20910-4493 Ph: (301) 615-8752 |
| NPI Number | 1043853740 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Medicare PECOS PAC ID | 4284060302 |
|---|---|
| Medicare Enrollment ID | O20200210002140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043853740 | NPI | - | NPPES |
| 778129600 | Medicaid | MD |
| Provider Name | Christopher J Goisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316432172 PECOS PAC ID: 5193151215 Enrollment ID: I20200210002269 |
| Provider Name | Angel Vivian Mbome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811250905 PECOS PAC ID: 3072944297 Enrollment ID: I20200504000083 |
Luna Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8720 Georgia Ave Ste 205, Silver Spring, MD 20910 Phone: 301-679-6033 Fax: 888-552-0363 | |
Medstar Medical Group Ii Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 N Leisure World Blvd, Silver Spring, MD 20906 Phone: 301-598-1590 | |
Pinnacle Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13244 Musicmaster Dr, Silver Spring, MD 20904 Phone: 340-370-8705 | |
Stepping Stone Treatment Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9652 Mt. Pisgah Road, Silver Spring, MD 20903 Phone: 301-445-4250 | |
Threshold Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1398 Lamberton Dr, Silver Spring, MD 20902 Phone: 301-754-1102 Fax: 301-754-1690 | |
A Village Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Pershing Dr Ste 202, Silver Spring, MD 20910 Phone: 301-328-7162 | |
Action Mental Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13306 Dauphine St, Silver Spring, MD 20906 Phone: 240-490-0176 |