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POTOMAC RIDGE- EASTERN SHORE
NPI 1285765636
Residential Treatment Facility, Emotionally Disturbed Children in Cambridge, MD

Active since March 08, 2007
821 FIELDCREST RD, CAMBRIDGE, MD 21613(410) 221-0288(410) 221-9588 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potomac Ridge- Eastern Shore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTOMAC RIDGE- EASTERN SHORE (NPI 1285765636) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Cambridge, Maryland and active in the NPI registry since March 2007. The organization lists Jane P Gordon, Therapist, as its authorized official.

NPPES Registry Identity

NPI1285765636
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePOTOMAC RIDGE- EASTERN SHORE
Location Address821 FIELDCREST RDCambridge, MD 21613-9423
Mailing Address821 Fieldcrest RdCambridge, MD 21613-9423 · (410) 221-0288 · Fax (410) 221-9588
Phone(410) 221-0288
Fax(410) 221-9588
Organization SubpartNo
Authorized OfficialJane P GordonTherapist · (410) 221-0288
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 14, 2008
✔ NPI 1285765636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in MD · 5337
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
821 FIELDCREST RD, Cambridge, MD 21613
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Other Identifiers 2

Medicaid410978300MD
Medicaid410520600MD

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POTOMAC RIDGE BEHAVIORAL HEALTH ES
Psychiatric Hospital
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-0288
MRS. BRITTANY ALLISON COOPER LCSW-C
Social Worker
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 901-4327
MARY C SEARS CSC-AD
Counselor (Addiction (Substance Use Disorder))
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 673-4600
POTOMAC RIDGE BEHAVIORIAL HEALTH EASTERN SHORE
Residential Treatment Facility, Emotionally Disturbed Children
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-0288
POTOMAC RIDGE BEHAVORIAL HEALTH EASTERN SHORE
Residential Treatment Facility, Emotionally Disturbed Children
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-0288
TIFFANI COTTON
Nurse Practitioner (Psychiatric/Mental Health)
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 346-1992
ADVENTIST HEALTHCARE, INC
Psychiatric Residential Treatment Facility
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-0288
AVENUES RECOVERY CENTER OF CHESAPEAKE BAY, LLC
Substance Abuse Rehabilitation Facility
821 FIELDCREST RD
CAMBRIDGE, MD 21613
Dorchester County (410) 673-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potomac Ridge- Eastern Shore's NPI number?

The NPI number for Potomac Ridge- Eastern Shore is 1285765636. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Potomac Ridge- Eastern Shore located?

Potomac Ridge- Eastern Shore is located at 821 Fieldcrest Rd, Cambridge, MD 21613. The listed phone number is (410) 221-0288.

What is Potomac Ridge- Eastern Shore's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Potomac Ridge- Eastern Shore was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.