BETH FREDERICK (NPI# 1083000103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083000103 |
| Entity Type | Individual |
| Full Name | BETH FREDERICK |
| Credential | PH,D. |
| Practice Address |
6535 N Charles St Suite 300 Towson MD 21204-5826 |
| Mailing Address |
6535 N. Charles St Suite 300 Towson MD 21204-5824 |
| Practice Telephone | 4109385252 |
| Practice Fax Number | 4109385250 |
| Mailing Telephone | 4109385252 |
| Mailing Fax Number | 4109385250 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 04456 | MD | Behavioral Health & Social Service Providers |
| Street Address |
6535 N CHARLES ST SUITE 300 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619400306 | Smart Pain Management, LLC | Pain Medicine | 6535 N Charles St, Suite 600, Towson, MD 21204-5826 | 2017-04-10 |
| 1912459546 | Brianna Maria Garrold | Counselor | 6535 N Charles St, 300, Towson, MD 21204-5826 | 2016-10-31 |
| 1730530700 | Victoria Kamauff Crandell | Counselor | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2016-06-30 |
| 1023317518 | Virginia Tai Runko | Psychologist | 6535 N Charles St, Suite 550, Towson, MD 21204-5826 | 2011-03-23 |
| 1861710824 | Sara Ingrid Jeurling | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2010-05-14 |
| 1023192283 | Christopher John Squillaro | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2006-10-24 |
| 1679655401 | Francis S Rotolo | Surgery | 6535 N Charles St, Suite 510, Towson, MD 21204-5826 | 2006-10-20 |
| 1720160484 | Laurence H Ross | Surgery | 6535 N Charles St, Sutie 510, Towson, MD 21204-5826 | 2006-10-20 |
| 1063505055 | Elaine Tina Koukoulas | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2006-10-02 |
| 1316056161 | Jill B Midthune | Psychiatry & Neurology | 6535 N Charles St, Ste 300, Towson, MD 21204-5826 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| 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 |
|---|---|---|---|---|
| 1407466832 | Christine Lay | Psychologist | 920 Providence Rd Ste 101, Towson, MD 21286-2979 | 2020-07-31 |
| 1942709290 | Clear Sky Psychological Services LLC | Psychologist | 222 Bosley Ave Ste B2, Towson, MD 21204-4302 | 2018-02-01 |
| 1790292696 | Jason Parcover | Psychologist | 1506 Boyce Ave, Towson, MD 21204-6514 | 2018-01-02 |
| 1396186730 | Veronica Tilden | Psychologist | 6525 N Charles St Ste 232, Towson, MD 21204-6857 | 2013-07-15 |
| 1932468667 | Jill Wilen Garfinkle | Psychologist | 21 West Rd Ste 150, Towson, MD 21204-2317 | 2012-05-15 |
| 1205127867 | Harriette Ernestine Wimms | Psychologist | 8501 Lasalle Road, Suite 115, Towson, MD 21286-4514 | 2011-04-29 |
| 1144401977 | Alice Deborah Weisko | Psychologist | 1107 Kenilworth Dr Ste 320, Towson, MD 21204-2135 | 2007-11-20 |
| 1013101864 | Diane Carla Pomerantz | Psychologist | 660 Kenilworth Dr Ste 101, Towson, MD 21204-2353 | 2007-09-04 |
| 1811040041 | Stephen Francis Curran | Psychologist | 29 W Susquehanna Ave, Suite 704, Towson, MD 21204-5201 | 2007-01-19 |
| 1235207168 | Nelson G Bentley | Psychologist | 204 E Joppa Road Ph16, Towson, MD 21286 | 2006-11-30 |
| Find all providers in TOWSON | ||||
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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.