DR. AMANDA MARIE DIVITA WIEMKEN (NPI# 1043825151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043825151 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE DIVITA WIEMKEN |
| Credential | PSY.D. |
| Practice Address |
2431 Solomons Island Rd Ste 200 Annapolis MD 21401-3730 |
| Mailing Address |
291 Deale Rd Tracys Landing MD 20779-9712 |
| Practice Telephone | 4439244051 |
| Mailing Telephone | 4392440514 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 06456 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 291 Deale Rd, Tracys Landing, MD 207799712 | 4439244051 |
| Street Address |
2431 SOLOMONS ISLAND RD STE 200 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267130 | Marna Wollman Brickman | Social Worker | 2431 Solomons Island Rd Ste 200, Annapolis, MD 21401-3730 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880919 | Thomas Muha | Psychologist | 1410 Forest Dr Ste 24, Annapolis, MD 21403-1446 | 2020-01-23 |
| 1104331404 | Heather Major | Psychologist | 1835 Forest Dr Ste D, Annapolis, MD 21401-4432 | 2017-12-08 |
| 1063921203 | Kiara Vogel | Psychologist | 134 Holiday Ct Ste 312, Annapolis, MD 21401-7008 | 2017-09-20 |
| 1437310745 | Charlotte L. Callens | Psychologist | 104 Forbes Street, Suite 205, Annapolis, MD 21401 | 2008-06-19 |
| 1821291972 | Sara Cimo Phillips | Psychologist | 2991 Friends Rd, Annapolis, MD 21401-7221 | 2007-06-07 |
| 1356487938 | Stephanie Deneene Sellman | Psychologist | 1307 Roosevelt St, Annapolis, MD 21403-2120 | 2007-01-30 |
| 1679621445 | Kathy B Gabriel | Psychologist | 207 Ridgely Ave, 2nd Fl., Annapolis, MD 21401-1303 | 2007-01-08 |
| 1003964297 | Edith S Wolf | Psychologist | 2903 Southaven Dr, Annapolis, MD 21401-7125 | 2007-01-06 |
| 1649369083 | Manuel Lopez Morales | Psychologist | 133 Defense Hwy 205, Annapolis, MD 21401 | 2006-10-12 |
| 1396728960 | Keith Thomas Foster | Psychologist | 49 Old Solomons Island Rd Ste 200, Annapolis, MD 21401-3864 | 2005-11-28 |
| Find all providers in ANNAPOLIS | ||||
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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.