| Main Street Community Mental Health Center | |
|
37 Main St Reisterstown MD 21136-1236 | |
| (410) 526-7882 | |
| (410) 526-9855 |
| Full Name | Main Street Community Mental Health Center |
|---|---|
| Speciality | Psychologist |
| Location | 37 Main St, Reisterstown, Maryland |
| Authorized Official Name and Position | Nicole J Ryan (OFFICE COORDINATOR) |
| Authorized Official Contact | 4105267882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Community Mental Health Center 37 Main St Reisterstown MD 21136-1236 Ph: (410) 526-7882 | Main Street Community Mental Health Center 37 Main St Reisterstown MD 21136-1236 Ph: (410) 526-7882 |
| NPI Number | 1134139637 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 7416911342 |
|---|---|
| Medicare Enrollment ID | O20041119000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134139637 | NPI | - | NPPES |
| 404353700 | Medicaid | MD |
| Provider Name | Andrew B Rudo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124047238 PECOS PAC ID: 9537163100 Enrollment ID: I20060913000286 |
| Provider Name | Jacob Tendler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194786996 PECOS PAC ID: 3971660093 Enrollment ID: I20090317000374 |
| Provider Name | Nicole J Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811182207 PECOS PAC ID: 0648432203 Enrollment ID: I20120427000497 |
| Provider Name | Jessica V Merkel-keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437448107 PECOS PAC ID: 7113176280 Enrollment ID: I20140806002284 |
| Provider Name | Mary P Dipaula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447655758 PECOS PAC ID: 2961728043 Enrollment ID: I20150309000791 |
| Provider Name | Mariel V Otter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881204535 PECOS PAC ID: 4587082904 Enrollment ID: I20200825003448 |
| Provider Name | Ashley Kendrick Gyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710575808 PECOS PAC ID: 4082020995 Enrollment ID: I20210301001364 |
| Provider Name | Ezinwanne Irobereachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184221236 PECOS PAC ID: 0143622548 Enrollment ID: I20211022000013 |
| Provider Name | Sunny Diffang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407480817 PECOS PAC ID: 9537562095 Enrollment ID: I20220422002024 |
Simply Living Blessed, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Shirley Manor Rd, Reisterstown, MD 21136 Phone: 443-255-5408 | |
Lc Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Main St, Reisterstown, MD 21136 Phone: 410-526-5387 | |
It Takes A Village Counseling Consulting & Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Chestnut Hill Ln, Reisterstown, MD 21136 Phone: 843-364-6610 | |
Serenity Pastoral Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Main St, Reisterstown, MD 21136 Phone: 410-977-2571 | |
Main Street Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Reisterstown, MD 21136 Phone: 410-526-7882 Fax: 410-526-9855 | |
Gilead Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Brampton Ct, Reisterstown, MD 21136 Phone: 443-399-6254 |