Chesapeake South Therapeutic Group LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC3556 Issued in MD

Legal business name

CHESAPEAKE SOUTH THERAPEUTIC GROUP LLC

Practice address

23127 Three Notch Rd
Suite 101
California, MD 20619-2402

Phone

(301) 752-2615

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Z Bowling, LCPC

Title

Therapist/ Authorized Member

Phone

(301) 752-2615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1992165641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23127 THREE NOTCH RD",
            "address_2": "SUITE 101",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23127 THREE NOTCH RD",
            "address_2": "SUITE 101",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192402",
            "telephone_number": "301-752-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE SOUTH THERAPEUTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "THERAPIST/ AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "301-752-2615",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC3556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan D Chaney, SLP
• Emily Charles
• Alexia Chase-Brown
• Sanai Chase
• Sheron Chase
• Ashley Cheseldine
• Gurdeep Chhabra
• Melissa B Christensen, RPH
• Phillip MC Lean Christie, D.D.S., M.A.G.D.
• Mark Andrew Chylinski, MD

• Community/Behavioral Health Agency in California, MD
• Providers in California, 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 Feb 23, 2016; 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.