Potomac Ridge- Eastern Shore
Potomac Ridge- Eastern Shore is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Cambridge, MD, holding Type 2 (organization) NPI 1285765636 since 2007. The authorized official on file is Jane Gordon, Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1285765636 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Potomac Ridge- Eastern Shore |
| Practice address | 821 FIELDCREST RD, Cambridge, MD, 21613 |
| Phone | 4102210288 |
| Fax | 4102219588 |
| Enumeration date | 2007-03-08 |
| Last updated in NPPES | 2008-08-14 |
Authorized official
| Name | Jane Gordon |
|---|---|
| Title | Therapist |
| Phone | 4102210288 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | Primary | 5337 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410520600 | Medicaid | MD | — |
| 410978300 | Medicaid | MD | — |
Copy-ready billing details
Provider: Potomac Ridge- Eastern Shore NPI: 1285765636 Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility) Address: 821 FIELDCREST RD, Cambridge, MD, 21613
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740227602 | Chesapeake Youth Center | Organization | Psychiatric Hospital | Cambridge, MD |
| 1700920527 | Potomac Ridge Behaviorial Health System Eastern Shore | Organization | Emotionally Disturbed Childrens' Residential Treatment Facility | Cambridge, MD |
| 1942344783 | Potomac Ridge Behaviorial Health Eastern Shore | Organization | Emotionally Disturbed Childrens' Residential Treatment Facility | Cambridge, MD |
| 1104952050 | Potomac Ridge Behavorial Health Eastern Shore | Organization | Emotionally Disturbed Childrens' Residential Treatment Facility | Cambridge, MD |
| 1912039017 | Adventist Healthcare, Inc | Organization | Psychiatric Hospital | Cambridge, MD |
| 1053445247 | Potomac Ridge Behaviorial Health Eastern Shore | Organization | Emotionally Disturbed Childrens' Residential Treatment Facility | Cambridge, MD |
| 1942426911 | Potomac Ridge Behavioal Health Es | Organization | Children's Chronic Disease Hospital | Cambridge, MD |
| 1215107925 | Adventist Healthcare, Inc | Organization | Psychiatric Residential Treatment Facility | Cambridge, MD |
Verify this record
Cross-check NPI 1285765636 against the authoritative CMS record: view Potomac Ridge- Eastern Shore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Potomac Ridge- Eastern Shore?
Who is the authorized official for Potomac Ridge- Eastern Shore?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-14.