Maryland Health Alliance, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARYLAND HEALTH ALLIANCE, INC.

Practice address

7525 Greenway Center Dr Ste 207
Greenbelt, MD 20770

Phone

(240) 473-2159

Fax

(240) 965-6935

NPI assigned

Apr 15, 2014

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey Andrew Williams

Title

Ceo

Phone

(240) 473-2159

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maryland Health Alliance, Inc.

  • Mental Health Counselor
  • Greenbelt, MD
  • NPI 1235474818

  O20180507001960

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Kennedy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1962763912

  DC

  Medicare reassignment Care Compare group NPD
• Rolanda Marie Jones, LCSW-C

  • Clinical Social Worker
  • Greenbelt, MD
  • NPI 1073855706

  DC

  Medicare reassignment Care Compare group
• Brian Wilson

  • Social Worker
  • Baltimore, MD
  • NPI 1427536580

  DC

  Medicare reassignment Care Compare group
• Ernest Keyaka

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1518504307

  DC

  Medicare reassignment NPD
• Dorthea Lynn Crenshaw, LICSW, LCSW

  • Clinical Social Worker
  • Fort Washington, MD
  • NPI 1992147524

  DC

  Medicare reassignment
• Benjamin A Adewale, MD

  • Neurology Physician
  • Springfield, VA
  • NPI 1790702132

  DC

  Medicare reassignment

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1285053538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 207",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "240-473-2159",
            "fax_number": "240-965-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 207",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "240-473-2159",
            "fax_number": "240-965-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Hanover Pkwy",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207702010",
            "country_code": "US",
            "telephone_number": "240-473-2159",
            "fax_number": "240-965-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND HEALTH ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-473-2159"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421908200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland CVS Pharmacy LLC (CVS Pharmacy #16639)
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 00452)
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 02016)
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Healthcare Clinics
• Maryland Interventional LLC
• Maryland Pain and Spine Center, Inc

• Community/Behavioral Health Agency in Greenbelt, MD
• Providers in Greenbelt, 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 Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.