Provider Demographics
NPI:1558176297
Name:CLIMBING STAR MD INC
Entity type:Organization
Organization Name:CLIMBING STAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEISCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-425-7178
Mailing Address - Street 1:250 SKILLMAN ST STE 403
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1292
Mailing Address - Country:US
Mailing Address - Phone:347-263-1585
Mailing Address - Fax:
Practice Address - Street 1:6865 DEERPATH RD STE 101
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6255
Practice Address - Country:US
Practice Address - Phone:800-425-7178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty