Organization
CHESAPEAKE BEHAVIORAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCY J. CORREA-CASHDOLLAR R.N. (PRACTICE MANAGER)
(410) 833-0581
Entity
Organization
Contact information
Practice address
217 MAIN ST, SUITE B, REISTERSTOWN, MD 21136-1213
(410) 833-0581
(410) 833-8604
Mailing address
217 MAIN ST, SUITE B, REISTERSTOWN, MD 21136-1213
(410) 833-0581
(410) 833-8604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0020136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007543711
AETNA
MD
01
—
225P
MEDICARE GROUP NUMBER
MD
01
—
284CCH
CAREFIRST OF MARYLAND
MD
05
—
4168160 00
—
MD
01
—
K876
GHMSI & BLUE CHOICE, INC
MD
Enumeration date
03/23/2006
Last updated
08/26/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up