| Community Clinic, Inc. | |
|
7676 New Hampshire Ave Ste 220a Takoma Park MD 20912-7514 | |
| (301) 431-2972 | |
| (301) 445-1037 |
| Full Name | Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7676 New Hampshire Ave Ste 220a, Takoma Park, Maryland |
| Authorized Official Name and Position | Sonya J Bruton (CEO) |
| Authorized Official Contact | 2408395107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic, Inc. 8665 Georgia Ave Silver Spring MD 20910-3405 Ph: (301) 340-7525 | Community Clinic, Inc. 7676 New Hampshire Ave Ste 220a Takoma Park MD 20912-7514 Ph: (301) 431-2972 |
| NPI Number | 1790730281 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 01/07/2026 |
| Medicare PECOS PAC ID | 6204722614 |
|---|---|
| Medicare Enrollment ID | O20040224000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790730281 | NPI | - | NPPES |
| 130061000 | Medicaid | MD |
| Provider Name | Marta J Hopkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245358019 PECOS PAC ID: 5294721908 Enrollment ID: I20040420001454 |
| Provider Name | Meaza T Bekele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073556221 PECOS PAC ID: 0244294833 Enrollment ID: I20041116000607 |
| Provider Name | Wendy Sobey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326151267 PECOS PAC ID: 0648238246 Enrollment ID: I20041229000600 |
| Provider Name | Anita Gangar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831122969 PECOS PAC ID: 5092763607 Enrollment ID: I20050111000332 |
| Provider Name | Anders P Apgar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831170638 PECOS PAC ID: 5496784167 Enrollment ID: I20050812000089 |
| Provider Name | Milagro Escobar Bowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780777458 PECOS PAC ID: 2163497207 Enrollment ID: I20070123000569 |
| Provider Name | Urvi M Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194829416 PECOS PAC ID: 2365513447 Enrollment ID: I20081028000617 |
| Provider Name | Parvej Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255539276 PECOS PAC ID: 5496814188 Enrollment ID: I20081110000833 |
| Provider Name | Neshat Tebyanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396060521 PECOS PAC ID: 7618164146 Enrollment ID: I20101209001252 |
| Provider Name | Caroline T Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790853042 PECOS PAC ID: 7911181458 Enrollment ID: I20110407000831 |
| Provider Name | Lois Ann Wessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487692885 PECOS PAC ID: 6002093903 Enrollment ID: I20110601000624 |
| Provider Name | Rebecca Felsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477863884 PECOS PAC ID: 6608018783 Enrollment ID: I20130820000783 |
| Provider Name | Immirne M Ouwinga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588820971 PECOS PAC ID: 2365694270 Enrollment ID: I20141008000820 |
| Provider Name | Yetunde O Bucknor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043320815 PECOS PAC ID: 4981910353 Enrollment ID: I20150831001371 |
| Provider Name | Kendra B Mcdow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265792519 PECOS PAC ID: 1052620911 Enrollment ID: I20151016000868 |
| Provider Name | Patricia C Frye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295106078 PECOS PAC ID: 7719270974 Enrollment ID: I20160726000588 |
| Provider Name | Namrata Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275848764 PECOS PAC ID: 8123316346 Enrollment ID: I20161004000996 |
| Provider Name | Aastasshia L Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107296 PECOS PAC ID: 1658659495 Enrollment ID: I20161028000814 |
| Provider Name | Christina Council |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831539451 PECOS PAC ID: 9234435967 Enrollment ID: I20161101000565 |
| Provider Name | Berthlyn M Williams Scoulios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497080964 PECOS PAC ID: 3072893767 Enrollment ID: I20161215001924 |
| Provider Name | Emmalyn C De Claro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053435990 PECOS PAC ID: 9739463399 Enrollment ID: I20170227000493 |
| Provider Name | Pinky Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790294924 PECOS PAC ID: 6204195092 Enrollment ID: I20180124002918 |
| Provider Name | Nneoma A Ugorji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285697458 PECOS PAC ID: 3476506999 Enrollment ID: I20180214002860 |
| Provider Name | Cecelia M Hall-carrington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063491686 PECOS PAC ID: 8628363488 Enrollment ID: I20180314000119 |
| Provider Name | Robin Sparer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649560608 PECOS PAC ID: 9537424015 Enrollment ID: I20180604002743 |
| Provider Name | Benjamin E Simson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518386556 PECOS PAC ID: 0446472914 Enrollment ID: I20180627001273 |
| Provider Name | Mia Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225416050 PECOS PAC ID: 4981913704 Enrollment ID: I20181009000142 |
| Provider Name | Vaughan Wright |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023236866 PECOS PAC ID: 2860744513 Enrollment ID: I20181009001003 |
| Provider Name | Princess O Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154808343 PECOS PAC ID: 4789920554 Enrollment ID: I20190116000057 |
| Provider Name | Bethlehem Kassaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952759375 PECOS PAC ID: 9436442936 Enrollment ID: I20190710001542 |
| Provider Name | Monica Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094989 PECOS PAC ID: 8820324403 Enrollment ID: I20190722000337 |
| Provider Name | Sonya Bruton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568016608 PECOS PAC ID: 5193055234 Enrollment ID: I20191002002869 |
| Provider Name | Pamela R Maslen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760036735 PECOS PAC ID: 6800128976 Enrollment ID: I20191023002326 |
| Provider Name | Sarah E Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396087557 PECOS PAC ID: 0042512352 Enrollment ID: I20200220001771 |
| Provider Name | Saema Ansari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558565531 PECOS PAC ID: 0345662706 Enrollment ID: I20200623002736 |
| Provider Name | Claribel E Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437446499 PECOS PAC ID: 0941622625 Enrollment ID: I20200625002034 |
| Provider Name | Folake Olubasusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912525114 PECOS PAC ID: 6002231727 Enrollment ID: I20200729000067 |
| Provider Name | Leena Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467018226 PECOS PAC ID: 9638597024 Enrollment ID: I20200917000133 |
| Provider Name | Katelin E Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497364632 PECOS PAC ID: 1355751900 Enrollment ID: I20201110001569 |
| Provider Name | Mehwash Naseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528405677 PECOS PAC ID: 3678702958 Enrollment ID: I20201119000889 |
| Provider Name | Tiara Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255980728 PECOS PAC ID: 1658787437 Enrollment ID: I20210302001572 |
| Provider Name | Edith E Onyenemezu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164070280 PECOS PAC ID: 4587094354 Enrollment ID: I20210323000998 |
| Provider Name | Elizabeth L Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164023701 PECOS PAC ID: 2668889114 Enrollment ID: I20210329001769 |
| Provider Name | Leila Seyedsalari |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063790129 PECOS PAC ID: 2062718372 Enrollment ID: I20210607000567 |
| Provider Name | Erin Mcberry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902473788 PECOS PAC ID: 5890197305 Enrollment ID: I20210707000488 |
| Provider Name | Zuwena Mohamed Iddi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831447747 PECOS PAC ID: 2365831146 Enrollment ID: I20211117000285 |
| Provider Name | Alexis A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871721134 PECOS PAC ID: 9032366497 Enrollment ID: I20211216003060 |
| Provider Name | Ashley Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760092175 PECOS PAC ID: 1153734413 Enrollment ID: I20211223000726 |
| Provider Name | Jessica Petros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528231016 PECOS PAC ID: 9638230600 Enrollment ID: I20220210000070 |
| Provider Name | Tyris D Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871169664 PECOS PAC ID: 3274929690 Enrollment ID: I20220411001970 |
| Provider Name | Jacqueline Rubidia Velasquez-castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437802113 PECOS PAC ID: 0042697237 Enrollment ID: I20220509001432 |
| Provider Name | Melaku Misikir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326712472 PECOS PAC ID: 8527457985 Enrollment ID: I20220622000297 |
| Provider Name | Jessica Landau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730836057 PECOS PAC ID: 3476932336 Enrollment ID: I20220815000757 |
| Provider Name | Makenna A Cummings |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487376497 PECOS PAC ID: 0042688327 Enrollment ID: I20221117000205 |
| Provider Name | Jessica Hu Taylor |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295391746 PECOS PAC ID: 7810221488 Enrollment ID: I20230202000826 |
| Provider Name | Parastoo Golestani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366504268 PECOS PAC ID: 5799157624 Enrollment ID: I20230202001087 |
| Provider Name | Whitley Shanel Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902548555 PECOS PAC ID: 3274906219 Enrollment ID: I20230222002259 |
| Provider Name | Helen Denisse Mejia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497253686 PECOS PAC ID: 9638542194 Enrollment ID: I20230302002333 |
| Provider Name | Felicia James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760969505 PECOS PAC ID: 5597130443 Enrollment ID: I20230407000759 |
| Provider Name | Donna R Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982962064 PECOS PAC ID: 5294190302 Enrollment ID: I20230425000854 |
| Provider Name | Christopher Pham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720431133 PECOS PAC ID: 8921463043 Enrollment ID: I20230425001273 |
| Provider Name | Leah Shoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174981922 PECOS PAC ID: 1153786603 Enrollment ID: I20230505000564 |
| Provider Name | Aileen Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508484791 PECOS PAC ID: 1951716489 Enrollment ID: I20230530000006 |
| Provider Name | Layne M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992483440 PECOS PAC ID: 1557724341 Enrollment ID: I20230825003548 |
| Provider Name | Erlyne Hyppolite-pedroso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710336334 PECOS PAC ID: 6406116375 Enrollment ID: I20230830000679 |
| Provider Name | Tony Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275100372 PECOS PAC ID: 3173921103 Enrollment ID: I20231108004083 |
| Provider Name | Kimberly Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467074344 PECOS PAC ID: 7810315983 Enrollment ID: I20240111003988 |
| Provider Name | Carolyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811536568 PECOS PAC ID: 0648621722 Enrollment ID: I20240112003520 |
| Provider Name | Wilfredo Giordano-perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902148141 PECOS PAC ID: 3072748722 Enrollment ID: I20240117003809 |
| Provider Name | Martine N Randolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003444845 PECOS PAC ID: 2860842846 Enrollment ID: I20240215001622 |
| Provider Name | Lee Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588320550 PECOS PAC ID: 1052857448 Enrollment ID: I20240722002541 |
| Provider Name | Masiray Kamara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376801498 PECOS PAC ID: 3577853167 Enrollment ID: I20240814003680 |
| Provider Name | Elizabeth O Atteh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245868710 PECOS PAC ID: 5294198164 Enrollment ID: I20240815000753 |
| Provider Name | Veronica Tovar-castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457702771 PECOS PAC ID: 0244771137 Enrollment ID: I20240918004335 |
| Provider Name | Michelle Fedorowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912584301 PECOS PAC ID: 3779985072 Enrollment ID: I20241021002456 |
| Provider Name | Juliet C Nwanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639837586 PECOS PAC ID: 9638542814 Enrollment ID: I20250326001756 |
| Provider Name | Tashia Weekes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801375431 PECOS PAC ID: 5597282434 Enrollment ID: I20250505002564 |
Montgomery County Maryland Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Bayfield St, Takoma Park, MD 20912 Phone: 301-431-7603 | |
Firstchoice Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6480 New Hampshire Ave Ste 200, Takoma Park, MD 20912 Phone: 240-544-8736 Fax: 301-560-8977 | |
Adventist Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7610 Carroll Ave, Suite 420, Takoma Park, MD 20912 Phone: 301-891-5488 | |
Park Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7610 Carroll Ave Ste 400, Takoma Park, MD 20912 Phone: 301-891-6141 | |
Montgomery County Maryland Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Bayfield St (dental), Takoma Park, MD 20912 Phone: 240-740-1950 Fax: 301-431-7643 | |
Ruddell Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912 Phone: 301-296-0720 | |
Nasreen M Kango Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7701 Carroll Ave, Takoma Park, MD 20912 Phone: 301-270-7606 |