CHESAPEAKE WELLNESS CENTER NPI 1083163307

NPI Information

  • NPI: 1083163307
  • Provider Name: CHESAPEAKE WELLNESS CENTER
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 21D1024274
  • Address: 251 S BOHEMIA AVE
    CECILTON, MD
    ZIP 21913
  • Phone: (410) 275-8156

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NPI Details

CHESAPEAKE WELLNESS CENTER is an addiction medicine family medicine in Cecilton, MD. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CHESAPEAKE WELLNESS CENTER NPI is 1083163307. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

251 S BOHEMIA AVE
CECILTON, MD
ZIP 21913-010
Phone: (410) 275-8156
Fax: (877) 433-6830

The provider's authorized official is Linda Jean Katz .
The authorized official title is Sole Member and has the following contact phone number (410) 275-8156.

The CLIA number assigned to this NPI record is 21D1024274 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/28/2016 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)XK8322339MARYLANDNo
2207QA0401XFamily MedicineAddiction MedicineH0056426MARYLANDYes
3363LF0000XNurse PractitionerFamilyR177831MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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