CATHRYNE L. MACIOLEK, PSY.D., LLC


Address: 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212
Phone: 4105915380

CATHRYNE L. MACIOLEK, PSY.D., LLC (NPI# 1053703298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053703298
Entity Type Organization
Organization Name CATHRYNE L. MACIOLEK, PSY.D., LLC
Other Organization Name THE MANDALA CENTER: BEHAVIORAL HEALTH & WELLNESS
Practice Address 540 E. Belvedere Avenue
Suite 203
Baltimore
MD 21212
Mailing Address 540 E Belvedere Ave
Suite 203
Baltimore
MD 21212-3750
Practice Telephone 4105915380
Mailing Telephone 4105915380
Enumeration Date 2015-02-25
Last Update Date 2015-12-02
Authorized Official Name DR. CATHRYNE L MACIOLEK (PRINCIPAL)
Authorized Official Telephone 4105915380
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
05298 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE PTAN 393635 01

Other Provider/Organization Names

Other Name Type Code
The Mandala Center: Behavioral Health & Wellness Other Name - Individual/Organization

Office Location

Street Address 540 E. BELVEDERE AVENUE
SUITE 203
City BALTIMORE
State MD
Zip Code 21212

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1497137269 Candy Carter Social Worker 5900 York Rd Ste 108, Baltimore, MD 21212 2015-06-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21212

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Dataset Information

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.

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