Marietta Healthcare Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MARIETTA HEALTHCARE SERVICES

Practice address

2901 Cabin Creek Dr
Burtonsville, MD 20866-1840

Phone

(301) 256-4575

NPI assigned

Feb 21, 2022

Last updated

Apr 26, 2023By 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

Stella-Maris AdamuNPI 1669770301

Title

Ceo

Phone

(301) 256-4575

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Stella-Maris Adamu

  • Pharmacist
  • Silver Spring, MD
  • NPI 1669770301
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1841945631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CABIN CREEK DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CABIN CREEK DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661840",
            "telephone_number": "301-256-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "ADAMU",
        "authorized_official_first_name": "STELLA-MARIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-256-4575"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Locust-Williams
• Julia Carroll Lucore, LMSW
• Veronica Crawford Lynch, PH.D
• Nakomo Atum Mambe
• Robin Mann, PSY.D.
• Maya Edmonds Maroto
• Janelle M. Martinez, DPT
• Saratu A Martins
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01461)
• Maryland Holistic and Sedation Dentistry LLC

• Developmental Disabilities Clinic/Center in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.