BLUE HERON PSYCHOLOGY, LLC (NPI# 1386183283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386183283 |
| Entity Type | Organization |
| Organization Name | BLUE HERON PSYCHOLOGY, LLC |
| Practice Address |
774 Fairview Ave Apt C Annapolis MD 21403-2956 |
| Practice Telephone | 4109347826 |
| Practice Fax Number | 4109347826 |
| Mailing Telephone | 4109347826 |
| Mailing Fax Number | 4109347826 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | DR. MEGHAN H BUCKLEY (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 4109347826 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
04511 | MD | Behavioral Health & Social Service Providers |
| Street Address |
774 FAIRVIEW AVE APT C |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21403-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194979823 | Meghan H Buckley | Psychologist | 774 Fairview Ave, Apt C, Annapolis, MD 21403-2956 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1053839654 | Brittney Edwards | Pharmacist | 975 Bay Ridge Road Bridge Shopping Center, Annapolis, MD 21403 | 2017-09-03 |
| 1932585684 | Michael Furno | Physical Therapy Assistant | 35 Milkshake Lane, Annapolis, MD 21403 | 2015-08-05 |
| 1174948863 | Grace Ann Aumiller | Occupational Therapy Assistant | 180 Admiral Cochrane Drive, Annapolis, MD 21403 | 2014-03-04 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1750647772 | Pauline A Gianoplus | Social Worker | 786 E Fairview Ave, E, Annapolis, MD 21403 | 2012-04-03 |
| 1962787366 | Katherine Sarah Billington | Nurse Anesthetist, Certified Registered | 534 Burnside Street, Annapolis, MD 21403 | 2011-10-17 |
| 1891979076 | Debra Joy Krausman | Counselor | 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 | 2007-12-24 |
| 1770638785 | Mary Lee Zetter | Social Worker | 610 Harbor Drive, Annapolis, MD 21403 | 2007-01-23 |
| 1154478501 | Debra R Taylor | Occupational Therapist | 1419 Forest Drive, Suite 210, Annapolis, MD 21403 | 2007-01-05 |
| Find all providers in zip 21403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722651 | Deanna Marie Sanders | Psychologist | 2431 Solomons Island Rd, Annapolis, MD 21401-3730 | 2020-02-20 |
| 1710356142 | Safe Harbor Christian of Annapolis | Psychologist | 1071 Bay Ridge Rd, Annapolis, MD 21403-4225 | 2015-09-16 |
| 1831590132 | Judith Clifford | Psychologist | 512 State St, Annapolis, MD 21403-3239 | 2014-09-06 |
| 1538574033 | Lee Anne Woomert | Psychologist | 1125 West Street Suite 200, Annapolis, MD 21401 | 2014-06-24 |
| 1851652671 | Sarah Ramsey Rovnak | Psychologist | 1125 West St Ste 200, Annapolis, MD 21401 | 2012-06-07 |
| 1194979823 | Meghan H Buckley | Psychologist | 774 Fairview Ave, Apt C, Annapolis, MD 21403-2956 | 2008-11-07 |
| 1295982122 | Courtney N Compagnone | Psychologist | 1125 West St, Suite 200, Annapolis, MD 21401-3607 | 2008-08-21 |
| 1003011669 | Bruce Delbert Hutchison | Psychologist | 978 Woodland Cir, Annapolis, MD 21409-5309 | 2007-06-15 |
| 1801099080 | Sally G. Mcbride | Psychologist | 2024 West St Ste 300, Annapolis, MD 21401-3556 | 2007-06-06 |
| 1023135183 | Marla M Sanzone | Psychologist | 104 Annapolis St, A, Annapolis, MD 21401-1310 | 2007-03-23 |
| 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.