Pyramid Walden, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5863 Issued in MD

Legal business name

PYRAMID WALDEN, LLC

Practice address

21770 FDR Blvd
Lexington Park, MD 20653-1558

Phone

(301) 863-6661

NPI assigned

Apr 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Hendricks

Title

Ceo

Phone

(148) 940-0407

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pyrmaid Healthcare Inc.

  • Methadone Clinic
  • York, PA
  • NPI 1740457514

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1134563992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30007 BUSINESS CENTER DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223101",
            "telephone_number": "301-997-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21770 FDR BLVD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531558",
            "telephone_number": "301-863-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID WALDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "148-940-0407"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613202202",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Price, PT, DPT, ATC
• Robert F. Prior, D.M.D.
• Professional Sportscare & Rehab, LLC
• Proflex Physical Therapy of Maryland, LLC
• Pyramid Walden, LLC
• Elisa Anais Rampersad, LCSW-C
• Elizabeth L Ramsey, LCSW-C, LCSW
• Dana Rebarchick, WELLNESS COACH
• Reflections at Golden Ridge, LLC
• Nancy Jane Reiber, MS,LCPC,NCC

• Community/Behavioral Health Agency in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.