Provider Demographics
NPI:1962940759
Name:WESTRIVER THERAPY
Entity type:Organization
Organization Name:WESTRIVER THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MERIS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-643-0240
Mailing Address - Street 1:5301 WESTBARD CIR STE 4
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1459
Mailing Address - Country:US
Mailing Address - Phone:240-643-0240
Mailing Address - Fax:
Practice Address - Street 1:6000 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:GLEN ECHO
Practice Address - State:MD
Practice Address - Zip Code:20812-1114
Practice Address - Country:US
Practice Address - Phone:301-951-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4296103TC0700X
DCPSY1001174103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1740394956OtherOTHER INDIVIDUAL NPI
600058228OtherMAGELLAN
1033283312OtherINDIVIDUAL NPI