Innovative Treatment Centers
A Medicare group practice based in Frederick, MD: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1052784840), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052784840
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230225000056 | MD | Part B Supplier - Clinic/Group Practice | 1568175867 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Innovative Treatment Centers
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1568175867
-
Innovative Treatment Centers
- Addiction Medicine (Family Medicine) Physician
- Glen Burnie, MD
- NPI 1730892035
-
Innovative Treatment Centers, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frederick, MD
- NPI 1104756543
Practice locations
- Glen Burnie, MD1
- Frederick, MD1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (8).
-
Travis A Baird, NP
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1235548314
-
Navneet Kaur Gill, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1053809871
-
Rabea Ilahe
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1801743315
-
Alison Henry Manos
- Psychiatric/Mental Health Nurse Practitioner
- Millersville, MD
- NPI 1487509477
-
Laura Rebeca Mata Lopez, NP
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1871010793
-
Carrie L Miller, LCSW-C
- Clinical Social Worker
- Bethesda, MD
- NPI 1265709067
-
Ashley Ka Yan Tsu, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1770475550
-
Cierra N Vaughters, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1043108210
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.