MIDDLETON PSYCHOLOGY SERVICES, LLC


Address: 176 Thomas Johnson Dr, Suite 204, Frederick, MD 21702-4410
Phone: 9139483896

MIDDLETON PSYCHOLOGY SERVICES, LLC (NPI# 1134579626) 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) 1134579626
Entity Type Organization
Organization Name MIDDLETON PSYCHOLOGY SERVICES, LLC
Practice Address 176 Thomas Johnson Dr
Suite 204
Frederick
MD 21702-4410
Mailing Address 618 Glenbrook Dr
Middletown
MD 21769-7732
Practice Telephone 9139483896
Enumeration Date 2016-06-15
Last Update Date 2016-06-15
Authorized Official Name DR. CARL MIDDLETON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9139483896
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 176 THOMAS JOHNSON DR
SUITE 204
City FREDERICK
State MD
Zip Code 21702-4410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104819093 John R Kovitch Dentist 176 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4410 2005-08-25
1558887117 Ayana White Counselor 176 Thomas Johnson Dr, Frederick, MD 21702-4410 2017-08-16
1841696325 Michelle Cooper Np, LLC Nurse Practitioner 176 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4499 2014-11-12
1316119365 Michelle Marie Cooper Nurse Practitioner 176 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4410 2008-03-31
1417131467 Live Radiology, LLC Clinic/Center 176 Thomas Johnson Dr, Suite 103, Frederick, MD 21702-4410 2007-12-27
1437331311 Berry Chiropractic Center Chiropractor 176 Thomas Johnson Dr, #204, Frederick, MD 21702-4410 2007-12-03
1861619140 Laura H Millard Social Worker 176 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4410 2007-04-19
1902948177 Jean H. Brennan Social Worker 176 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4410 2007-02-13
1265525513 Darci Deann Feifer Counselor 176 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4410 2006-10-01
1881796506 Mindy Korol Psychologist 176 Thomas Johnson Dr, Suite 203, Frederick, MD 21702-4410 2006-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
Find all providers in zip 21702

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144852187 Open Arms, Open Minds Behavioral Health Services Clinic/Center 365 W Patrick St Ste 202, Frederick, MD 21701-4854 2020-02-07
1851866065 Main Place Treatment Centers LLC. Clinic/Center 127 S. Smallwood Street, Frederick, MD 21701 2018-10-04
1033381892 Lds Family Services Clinic/Center 172 Thomas Johnson Drive, Suite 200, Frederick, MD 21702-4404 2008-04-01
1659978732 Mental Health Association of Frederick County Clinic/Center 226 S Jefferson St, Frederick, MD 21701-6205 2020-10-02
1104434281 Keeley Psychiatry LLC Clinic/Center 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 2020-07-15
1003453366 Maryland Center for Gender & Intimacy Clinic/Center 319 W Patrick St, Frederick, MD 21701-4855 2019-12-05
1871063685 Genesis Treatment Services, LLC Clinic/Center 1160 W Patrick St, Frederick, MD 21703-3962 2018-12-05
1336614536 Main Place Treatment Centers LLC. Clinic/Center 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 2018-10-04
1427548569 Mindful Marriage and Family Therapy, LLC Clinic/Center 120 W Church St Ste 3b, Frederick, MD 21701-7813 2018-05-15
1295243186 Crazy Talk, LLC Clinic/Center 65 Thomas Johnson Dr Ste A, Frederick, MD 21702-4371 2018-01-14
Find all providers in FREDERICK

Competitor

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City FREDERICK
Zip Code 21702

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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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