| Lifestance Health | |
|
1511 Ritchie Hwy Ste 202 Arnold MD 21012-2410 | |
| (410) 757-2077 | |
| (410) 757-5184 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 1511 Ritchie Hwy Ste 202, Arnold, Maryland |
| Authorized Official Name and Position | Ryan Pardo (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 1511 Ritchie Hwy Ste 202 Arnold MD 21012-2410 Ph: (410) 757-2077 | Lifestance Health 1511 Ritchie Hwy Ste 202 Arnold MD 21012-2410 Ph: (410) 757-2077 |
| NPI Number | 1073649521 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 4981688173 |
|---|---|
| Medicare Enrollment ID | O20040615001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073649521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia J Folsome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760417307 PECOS PAC ID: 0840280970 Enrollment ID: I20040512001158 |
| Provider Name | Raymond D Mosko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609858125 PECOS PAC ID: 1052397080 Enrollment ID: I20040629000613 |
| Provider Name | Mary M Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134362908 PECOS PAC ID: 4183692106 Enrollment ID: I20040917000879 |
| Provider Name | Samson Vimalananda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578500955 PECOS PAC ID: 2567400344 Enrollment ID: I20050421000950 |
| Provider Name | Carroll Stewart Canipe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720289028 PECOS PAC ID: 4789610064 Enrollment ID: I20050711000093 |
| Provider Name | Stephanie M Kestler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265659031 PECOS PAC ID: 3779517966 Enrollment ID: I20050927000500 |
| Provider Name | Robert A Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760463913 PECOS PAC ID: 8224137625 Enrollment ID: I20070626000553 |
| Provider Name | Martin P Schnuit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194716480 PECOS PAC ID: 8527169721 Enrollment ID: I20070718000199 |
| Provider Name | Akira Otani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811150485 PECOS PAC ID: 0244398444 Enrollment ID: I20081016000237 |
| Provider Name | Naomi Constantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225212756 PECOS PAC ID: 0143385732 Enrollment ID: I20090216000008 |
| Provider Name | Diane L Channas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568476869 PECOS PAC ID: 1052503919 Enrollment ID: I20101011000363 |
| Provider Name | Elizabeth B Krakow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225042518 PECOS PAC ID: 8527251768 Enrollment ID: I20101020001335 |
| Provider Name | Louis Woolard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811971617 PECOS PAC ID: 1850574302 Enrollment ID: I20110322000404 |
| Provider Name | Scott E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235120536 PECOS PAC ID: 6800079161 Enrollment ID: I20110324000105 |
| Provider Name | Mary C Drennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174756761 PECOS PAC ID: 0840475679 Enrollment ID: I20110421000096 |
| Provider Name | Anthony B Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164413464 PECOS PAC ID: 1759300643 Enrollment ID: I20110524000663 |
| Provider Name | Laurie E Scheidle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801184171 PECOS PAC ID: 4486826849 Enrollment ID: I20111006000317 |
| Provider Name | Bosede M Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659629798 PECOS PAC ID: 5395980502 Enrollment ID: I20130806000709 |
| Provider Name | Christina Urcinas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427447929 PECOS PAC ID: 1759607732 Enrollment ID: I20150310002015 |
| Provider Name | Katia Coley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770982241 PECOS PAC ID: 8022335611 Enrollment ID: I20150319000302 |
| Provider Name | Claudine S Mooty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366829418 PECOS PAC ID: 9032439468 Enrollment ID: I20150526001485 |
| Provider Name | Kenneth W Gilstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023197431 PECOS PAC ID: 6002875630 Enrollment ID: I20150714000419 |
| Provider Name | Victoria Adaramaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356743181 PECOS PAC ID: 0244544773 Enrollment ID: I20150728006178 |
| Provider Name | Nanah Sesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306171145 PECOS PAC ID: 9830348630 Enrollment ID: I20150921000211 |
| Provider Name | Paula Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366847923 PECOS PAC ID: 6103133129 Enrollment ID: I20150923001326 |
| Provider Name | Victoria V Manger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003275850 PECOS PAC ID: 9638475668 Enrollment ID: I20160316002412 |
| Provider Name | Timothy W Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992185250 PECOS PAC ID: 3375842917 Enrollment ID: I20160503000668 |
| Provider Name | Hollie Nicole Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467986653 PECOS PAC ID: 1355628645 Enrollment ID: I20170516001667 |
| Provider Name | Alimatu Kosnatu Nabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053820621 PECOS PAC ID: 8325305329 Enrollment ID: I20171129002722 |
| Provider Name | Chidinma Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497283097 PECOS PAC ID: 7416217062 Enrollment ID: I20180131000194 |
| Provider Name | Oluwatoyin Mary Adekeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790171296 PECOS PAC ID: 6002170057 Enrollment ID: I20180430000473 |
| Provider Name | Atina L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508351024 PECOS PAC ID: 2961751722 Enrollment ID: I20180828001601 |
| Provider Name | Rachel Mall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144779026 PECOS PAC ID: 1153659214 Enrollment ID: I20190827003525 |
| Provider Name | Siyami Takha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760995021 PECOS PAC ID: 7911335658 Enrollment ID: I20200313000005 |
| Provider Name | Deanna M Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831722651 PECOS PAC ID: 8224467675 Enrollment ID: I20200406001577 |
| Provider Name | Thecla Ngozi Asoluka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306483631 PECOS PAC ID: 2365873791 Enrollment ID: I20200519000226 |
| Provider Name | Modinat Oluwatoyin Fagbenro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063061034 PECOS PAC ID: 4880017664 Enrollment ID: I20200713001852 |
| Provider Name | Doveal Goins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518274588 PECOS PAC ID: 7719302538 Enrollment ID: I20200806001107 |
| Provider Name | Brenda Rosencrantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215534029 PECOS PAC ID: 3274953286 Enrollment ID: I20201013001987 |
| Provider Name | Amanda Wiemken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043825151 PECOS PAC ID: 8527478072 Enrollment ID: I20201111003134 |
| Provider Name | Katherine J Maas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831701317 PECOS PAC ID: 3072923531 Enrollment ID: I20201112000447 |
| Provider Name | Chinyere Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568909620 PECOS PAC ID: 0749693208 Enrollment ID: I20201231000079 |
| Provider Name | Laurette Abunaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659968642 PECOS PAC ID: 7315352457 Enrollment ID: I20210223000976 |
| Provider Name | Anjali Jain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982167185 PECOS PAC ID: 6204234966 Enrollment ID: I20211011000733 |
| Provider Name | Raphael Ernest Gikonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205458536 PECOS PAC ID: 6608264296 Enrollment ID: I20211101003044 |
| Provider Name | Natalie Ann Marchione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992327035 PECOS PAC ID: 5496144776 Enrollment ID: I20211108000007 |
| Provider Name | Fidelis Eghoateh Atianjoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396412243 PECOS PAC ID: 0840684478 Enrollment ID: I20220224003104 |
| Provider Name | Sarah E Balogh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427705557 PECOS PAC ID: 7719364389 Enrollment ID: I20220520000081 |
| Provider Name | Diana Gruhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851024947 PECOS PAC ID: 7315329158 Enrollment ID: I20220727000281 |
| Provider Name | Carla D Corsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093307118 PECOS PAC ID: 7911381140 Enrollment ID: I20220907000878 |
| Provider Name | Jillian S Parente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770016891 PECOS PAC ID: 5991189136 Enrollment ID: I20220907001411 |
| Provider Name | Michele R Buchanan-tyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255788691 PECOS PAC ID: 3971988023 Enrollment ID: I20220910000320 |
| Provider Name | Elizabeth C Santamaria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417526419 PECOS PAC ID: 5395120471 Enrollment ID: I20220912000654 |
| Provider Name | Devin W Kiessling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437744893 PECOS PAC ID: 9830574565 Enrollment ID: I20220916001591 |
| Provider Name | Lilian A Odera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992054324 PECOS PAC ID: 7810141124 Enrollment ID: I20220927001069 |
| Provider Name | David Michael Censits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083663785 PECOS PAC ID: 2769482710 Enrollment ID: I20230119001871 |
| Provider Name | Nancy K Craven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174544019 PECOS PAC ID: 7113373655 Enrollment ID: I20231019002473 |
| Provider Name | Daniel Damian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609187814 PECOS PAC ID: 6901252014 Enrollment ID: I20231026000327 |
| Provider Name | Joseph Donovan Maisel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134899149 PECOS PAC ID: 3476909029 Enrollment ID: I20231102000989 |
| Provider Name | Delores Estelle Burrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750532461 PECOS PAC ID: 6204127087 Enrollment ID: I20231115001097 |
| Provider Name | Catherine Anne Mccubbin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962634006 PECOS PAC ID: 7113370883 Enrollment ID: I20240130000084 |
| Provider Name | Yosan Gebre-ab |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144838509 PECOS PAC ID: 3173976776 Enrollment ID: I20240131000909 |
| Provider Name | Elisza Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063133379 PECOS PAC ID: 8325491939 Enrollment ID: I20240131000963 |
| Provider Name | Julie Kraus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346615044 PECOS PAC ID: 1951754373 Enrollment ID: I20240201000476 |
| Provider Name | Carmen L Getty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487960308 PECOS PAC ID: 4385097625 Enrollment ID: I20240202000155 |
| Provider Name | Jacqueline Justiniano Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992305205 PECOS PAC ID: 7719320035 Enrollment ID: I20240202003525 |
| Provider Name | Julia Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922638196 PECOS PAC ID: 4385087659 Enrollment ID: I20240205000798 |
| Provider Name | Stephen Michael Przybylski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376205427 PECOS PAC ID: 6305289513 Enrollment ID: I20240205002904 |
| Provider Name | Ronda J Wolfe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902468754 PECOS PAC ID: 1759724784 Enrollment ID: I20240207001019 |
| Provider Name | Sydnie R Spearman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679200786 PECOS PAC ID: 5890138846 Enrollment ID: I20240207001639 |
| Provider Name | Gisele C.w. Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235428020 PECOS PAC ID: 6800239781 Enrollment ID: I20240207003076 |
| Provider Name | Taylor Stocks Tabinsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821605452 PECOS PAC ID: 0547603375 Enrollment ID: I20240208003848 |
| Provider Name | Mika Renee Singer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871947606 PECOS PAC ID: 1153729793 Enrollment ID: I20240209000851 |
| Provider Name | Carly Sienna Compton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225766280 PECOS PAC ID: 2365885902 Enrollment ID: I20240209003317 |
| Provider Name | Carrie Victoria Holland-lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023447034 PECOS PAC ID: 2860835402 Enrollment ID: I20240209003523 |
| Provider Name | Nicole Blanchette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659737229 PECOS PAC ID: 4688017114 Enrollment ID: I20240212002016 |
| Provider Name | Michael George Crowley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396233870 PECOS PAC ID: 6901249408 Enrollment ID: I20240212004380 |
| Provider Name | Mark Elliott Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487270088 PECOS PAC ID: 5991148322 Enrollment ID: I20240213001126 |
| Provider Name | Kelini Coker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558909333 PECOS PAC ID: 8628412947 Enrollment ID: I20240214003539 |
| Provider Name | Meredith H Braden-macmullan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447735972 PECOS PAC ID: 6406290774 Enrollment ID: I20240215000828 |
| Provider Name | Mary Kathleen D Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235774696 PECOS PAC ID: 8224489034 Enrollment ID: I20240215003752 |
Libby Psychological Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1298 Bay Dale Dr Ste 216, Arnold, MD 21012 Phone: 443-223-1542 | |
Mental Health Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 273 Peninsula Farm Rd Ste F, Arnold, MD 21012 Phone: 410-980-2089 Fax: 443-346-0067 | |
Cathryn Wingate Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Peninsula Farm Rd, Suite J, Arnold, MD 21012 Phone: 410-975-0105 | |
Karen Helfman, Lcsw-c, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1298 Bay Dale Dr, Suite 216, Arnold, MD 21012 Phone: 443-370-2097 | |
Bruce Turnquist Psy.d. And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Peninsula Farm Rd, Suite J, Arnold, MD 21012 Phone: 410-975-0105 Fax: 410-975-0108 | |
Mcdonald & O'callaghan, P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Ritchie Hwy Ste 3e, Arnold, MD 21012 Phone: 410-757-9311 |