Project Chesapeake, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Prince Frederick, MD
NPI 1366944142 · NPPES record last updated May 1, 2019
Key facts
- NPI
- 1366944142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- PROJECT CHESAPEAKE, LLC
- Practice address
- 69 Sherry LN
Prince Frederick, MD 20678-3231 - Phone
- (443) 968-8331
- NPI assigned
- Mar 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Joseph Rogers
- Title
- Partner
- Phone
- (443) 440-5780
Other NPIs on the same Medicare enrollment 18
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141030000682 | MD | Part B Supplier - Clinic/Group Practice | 2769603034 |
Receives reassigned benefits from 24 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greensboro, MD; Harwood, MD; Leonardtown, MD; Edgewood, MD; Lothian, MD; Pasadena, MD; Prince Frederick, MD; Riva, MD… |
National Provider Directory
- Tax ID family
- Project Chesapeake LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
69 Sherry LN
Prince Frederick, MD 20678-3231
Mailing address
185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone (443) 440-5780
Other providers in Prince Frederick, MD
- Privia Medical Group, LLC
- Professional Sportscare & Rehab, LLC
- Project Chesapeake LLC
- Project Chesapeake LLC
- Project Chesapeake, LLC
- Jessica Lynn Pucci
- Kayla Purcell
- Shubhinder Puri
- Kerry I Puttlitz
- Kathryn Denise Quinn
All providers in Prince Frederick, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.