PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND (NPI# 1477613578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477613578 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND |
| Other Organization Name | PRINCE GEORGE'S COUNTY |
| Practice Address |
337 Brightseat Rd Sutie 106 and 107 Landover MD 20785-4736 |
| Mailing Address |
Po Box 690 Chestertown MD 21620-0690 |
| Practice Telephone | 3014991474 |
| Practice Fax Number | 3014990145 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDALL COOPER (CHIEF FINANCIAL OFFICER) |
| 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 |
MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| PRINCE GEORGE'S COUNTY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003988627 | Psychotherapeutic Services of Southern Maryland | Psychologist | 105 Paul Mellon Ct, Suite 19, 20, Waldorf, MD 20602-2762 | 2006-11-15 |
| 1871744946 | Psychotherapeutic Services of Southern Maryland | Case Management | 41900 Fenwick St, Suite 5, Leonardtown, MD 20650-3813 | 2008-10-07 |
| Street Address |
337 BRIGHTSEAT RD SUTIE 106 AND 107 |
| City | LANDOVER |
| State | MD |
| Zip Code | 20785-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386829661 | Arundel Lodge, Inc | Community/Behavioral Health | 337 Brightseat Rd, Landover, MD 20785-4736 | 2008-01-04 |
| 1194938340 | Gaudenzia Inc | Clinic/Center | 337 Brightseat Rd, Landover, MD 20785-4736 | 2007-05-07 |
| 1356484547 | Psychotherapeutic Rehabilation Services | Psychiatry & Neurology | 337 Brightseat Rd, Suite 106 & 107, Landover, MD 20785-4736 | 2007-02-15 |
| 1942343983 | Psychotherapeutic Residential Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 337 Brightseat Rd, Suite 106, Landover, MD 20785-4736 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1235204355 | Psychotherapeutic Services of Southern Maryland, Inc | Psychologist | 2021 Research Dr, Annapolis, MD 21401-3038 | 2006-11-22 |
| 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.