SAMORAJCZYK PSYCHOLOGICAL SERVICES PA (NPI# 1043511173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043511173 |
| Entity Type | Organization |
| Organization Name | SAMORAJCZYK PSYCHOLOGICAL SERVICES PA |
| Other Organization Name | SAMORAJCZYK PSYCHOLOGICAL SERVICES, INC PA |
| Practice Address |
19205 Seneca Ridge Ct Gaithersburg MD 20886-3921 |
| Practice Telephone | 3018691755 |
| Practice Fax Number | 4102665950 |
| Mailing Telephone | 3018691755 |
| Mailing Fax Number | 4102665950 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | DR. JOHN F SAMORAJCZYK (PSYCHOLOGIST) |
| Authorized Official Telephone | 3018691755 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMORAJCZYK PSYCHOLOGICAL SERVICES PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 00497 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEPARTMENT OF LABOR | 145425100 | 01 |
| MD | CARE FIRST BLUE CROSS | 5604 | 01 |
| MD | VALUE OPTIONS-BLUE CROSS BLUE SHIELD | 053380 | 01 |
| MD | CARE FIRST BLUE CHOICE | 56040001 | 01 |
| Other Name | Type Code |
|---|---|
| Samorajczyk Psychological Services, Inc PA | Doing Business As Name - Organization |
| Street Address |
19205 SENECA RIDGE CT |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20886-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684986 | Monica Susan Perretta | Dietitian, Registered | 8615 East Village Ave., Montgomery Village, MD 20886 | 2018-03-29 |
| 1942604640 | Maria Uy | Pharmacist | 9846 Maple Leaf Dr, Montgomery Village, MD 20886 | 2014-10-09 |
| 1699015354 | Larissa Kern Reynolds | Psychologist | 8615 East Village Avenue, Montgomery Village, MD 20886 | 2013-02-18 |
| 1518221613 | Iya-wase Winifred Besinga | Home Health Aide | 9658 Brassieway Montgomery Village, Montgomery, MD 20886 | 2012-07-03 |
| 1265758858 | Nina Vann Jeanes M.d., P.C. | Obstetrics & Gynecology | 19221 Montgomery Village Avenue, C-20, Montgomery County, MD 20886 | 2010-04-08 |
| 1275773012 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 8109 Wisconsin Ave, Bethesda, MD 20886 | 2009-03-05 |
| 1184876757 | Russell Lee Fritts | Chiropractor | 18538 Office Park Dr., Montgomery Village, MD 20886 | 2008-10-15 |
| 1558536102 | James M Ryan | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886 | 2008-04-24 |
| 1558487413 | Montgomery Village Dental Ctr | Dentist | 18544 Office Park Drive, Gaithersburg, MD 20886 | 2007-03-22 |
| 1437226784 | Robbie S Moyer | Pediatrics | 18506 Office Park Drive, Montgomery Vlg, MD 20886 | 2006-11-30 |
| Find all providers in zip 20886 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832841 | Carpenter Counseling, LLC | Community/Behavioral Health | 12121 Pueblo Rd, Gaithersburg, MD 20878-2065 | 2020-08-24 |
| 1285266262 | Montgomery Wellness Hub LLC | Community/Behavioral Health | 951 Russell Ave Ste D, Gaithersburg, MD 20879-3283 | 2020-02-07 |
| 1568009439 | Family Services, Inc. | Community/Behavioral Health | 630 E Diamond Ave, Gaithersburg, MD 20877-5322 | 2019-12-10 |
| 1821579582 | Maryland Center for Familiy Guidance | Community/Behavioral Health | 158 Barnsfield Ct, Gaithersburg, MD 20878-2720 | 2018-08-22 |
| 1366948333 | Maximum Community Support Services Inc | Community/Behavioral Health | 963 Russell Ave Ste D, Gaithersburg, MD 20879-3287 | 2018-03-30 |
| 1265943781 | Alta Healtcare Services | Community/Behavioral Health | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2017-10-24 |
| 1295194371 | Family Services, Inc | Community/Behavioral Health | 630 East Diamond Ave, Gaithersburg, MD 20877-5321 | 2016-02-17 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1033509591 | Chinese Culture and Community Service Center, Inc. | Community/Behavioral Health | 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877-1409 | 2015-02-04 |
| 1659626356 | Family Services, Inc | Community/Behavioral Health | 640 E. Diamond Ave, Suite B, Gaithersburg, MD 20877-5321 | 2012-07-18 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20886 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.