Provider Demographics
NPI:1356560643
Name:PADEN & ASSOCIATES, INCORPORATED
Entity type:Organization
Organization Name:PADEN & ASSOCIATES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:PADEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-843-0968
Mailing Address - Street 1:2300 OXFORD SHIRE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-3215
Mailing Address - Country:US
Mailing Address - Phone:301-843-0968
Mailing Address - Fax:301-885-0961
Practice Address - Street 1:2670 CRAIN HWY
Practice Address - Street 2:SUITE 501
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2806
Practice Address - Country:US
Practice Address - Phone:301-843-0968
Practice Address - Fax:301-885-0961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00389452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKK34Medicare ID - Type Unspecified