| J Daniels Psychtherapy Services, Inc | |
|
6798 Amherst Rd Bryans Road MD 20616-3046 | |
| (301) 375-9220 | |
| Not Available |
| Full Name | J Daniels Psychtherapy Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6798 Amherst Rd, Bryans Road, Maryland |
| Authorized Official Name and Position | Jennene Daniels (PRES.) |
| Authorized Official Contact | 3013759220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Daniels Psychtherapy Services, Inc 6798 Amherst Rd Bryans Road MD 20616-3046 Ph: (301) 375-9220 | J Daniels Psychtherapy Services, Inc 6798 Amherst Rd Bryans Road MD 20616-3046 Ph: (301) 375-9220 |
| NPI Number | 1811374879 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 08/14/2015 |
| Medicare PECOS PAC ID | 3173835311 |
|---|---|
| Medicare Enrollment ID | O20151026001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811374879 | NPI | - | NPPES |
| 36910005 | Other | MD | CAREFIRST BCBS |
| 528447 | Other | MD | MAMSI |
| 582M906F | Other | MD | MEDICARE |
| 621210700 | Medicaid | MD | |
| 003728 | Other | MD | VALUE OPTIONS |
| 1669470894 | Other | MD | TRICARE/HNFS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03791 (Maryland) | Primary |
| Provider Name | Jennene Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669470894 PECOS PAC ID: 3971773425 Enrollment ID: I20111018000699 |