PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND , INC (NPI# 1235204355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235204355 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND , INC |
| Other Organization Name | ANNE ARUNDEL COUNTY |
| Practice Address |
2021 Research Dr Annapolis MD 21401-3038 |
| Mailing Address |
Po Box 690 Chestertown MD 21620-0690 |
| Practice Telephone | 4107789114 |
| Practice Fax Number | 4107787988 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDALL COOPER (CHIEF FINANCIAL OFFICE) |
| Authorized Official Telephone | 4107789114 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ANNE ARUNDEL COUNTY | Other Name - Individual/Organization |
| Street Address |
2021 RESEARCH DR |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578698486 | Paul August Gianakon | Psychiatry & Neurology | 2021 Research Dr, Annapolis, MD 21401-3038 | 2007-02-22 |
| 1376619643 | Psychotherapeutic Treatment Services | Psychologist | 2021 Research Dr, Annapolis, MD 21401-3038 | 2006-11-28 |
| 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 | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376619643 | Psychotherapeutic Treatment Services | Psychologist | 2021 Research Dr, Annapolis, MD 21401-3038 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723192 | New Beginnings LLC | Psychologist | 4010 W Belvedere Ave Ste 102, Baltimore, MD 21215-5502 | 2020-09-04 |
| 1003479668 | Maryland Wellness LLC | Psychologist | 4128 Hayward Ave # W, Baltimore, MD 21215-4340 | 2019-04-19 |
| 1396128583 | New Beginnings LLC | Psychologist | 4010 W Belvedere Ave, Baltimore, MD 21215-5502 | 2015-07-07 |
| 1780065359 | Preventive Measures, LLC | Psychologist | 5819 Allentown Rd, Camp Springs, MD 20746-4570 | 2015-06-09 |
| 1932541638 | Yehuda Bergman | Psychologist | 3001 Temple Gate Rd, Baltimore, MD 21209-3832 | 2013-07-23 |
| 1487993861 | Mpb Health & Healing Inc | Psychologist | 5840 Banneker Rd Ste 270, Columbia, MD 21044-3103 | 2013-02-05 |
| 1538492608 | Richard H. Schreder, Ph.d., P.a. | Psychologist | 6024 Chesworth Rd., Catonsville, MD 21228-2715 | 2009-09-08 |
| 1346489887 | Psychotherapeutic Services of Southern Maryland, Inc. | Psychologist | 870 High St Ste 2, Chestertown, MD 21620-3914 | 2009-02-06 |
| 1558581868 | Laurie Bloom Levinson | Psychologist | 660 Straffan Dr, Timenium, MD 21093 | 2007-04-27 |
| 1477613578 | Psychotherapeutic Services of Southern Maryland | Psychologist | 337 Brightseat Rd, Sutie 106 and 107, Landover, MD 20785-4736 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
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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.