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SAMANTHA T. BENDER PH.D. LLC NPI 1912152703


NPI Information

NPI: 1912152703
Provider Name: SAMANTHA T. BENDER, PH.D., LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4915 AUBURN AVE
SUITE 110
BETHESDA, MD
ZIP 20814
Phone: (301) 718-2971
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SAMANTHA T. BENDER, PH.D., LLC is a community behavioral health in Bethesda, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SAMANTHA T. BENDER, PH.D., LLC NPI is 1912152703. The provider is registered as an organization entity type.

The provider's business location address is:

4915 AUBURN AVE
SUITE 110
BETHESDA, MD
ZIP 20814-636
Phone: (301) 718-2971
Fax: (301) 718-2972

The provider's authorized official is Samantha T Bender .
The authorized official title is Sole Proprietor and has the following contact phone number (301) 718-2971.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 11/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health03615MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1400939800MEDICAIDMARYLAND
21770529109OTHERMARYLANDINDIVIDUAL NPI

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: 11/14/2023

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