FREDERICK PSYCHOLOGY CENTER LLC (NPI# 1588685465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588685465 |
| Entity Type | Organization |
| Organization Name | FREDERICK PSYCHOLOGY CENTER LLC |
| Practice Address |
97 Thomas Johnson Dr Suite 202 Frederick MD 21702-4373 |
| Practice Telephone | 3016956455 |
| Practice Fax Number | 3016956456 |
| Mailing Telephone | 3016956455 |
| Mailing Fax Number | 3016956456 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | DR. TIMOTHY ALLEN GIBIAN (CO-OWNER) |
| Authorized Official Telephone | 3016956455 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| 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 |
| Street Address |
97 THOMAS JOHNSON DR SUITE 202 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827664 | Frederick Cardiovascular Care PC | Internal Medicine | 97 Thomas Johnson Dr, Ste 100, Frederick, MD 21702-4379 | 2005-11-03 |
| 1083802656 | Trevia Hayden, Md LLC. | Psychiatry & Neurology | 97 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-4379 | 2007-10-09 |
| 1871781435 | Bert Williams M.d. LLC | Urology | 97 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-4379 | 2007-10-09 |
| 1821131939 | Dawn R Mossburg | Nurse Practitioner | 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4373 | 2007-02-15 |
| 1154393270 | Kevin Richard Lawlor | Psychologist | 97 Thomas Johnson Dr, Suite 202, Frederick, MD 21702 | 2006-02-02 |
| 1235101361 | Timothy Allen Gibian | Psychologist | 97 Thomas Johnson Dr, Suite 202, Frederick, MD 21702 | 2006-02-02 |
| 1598737629 | Gregory Harry Powell | Psychologist | 97 Thomas Johnson Dr, Ste 202, Frederick, MD 21702 | 2006-02-02 |
| 1164494282 | Cynthia Sue Eaves | Psychologist | 97 Thomas Johnson Dr, Ste 202, Frederick, MD 21702 | 2006-02-02 |
| 1144202995 | Edwin T. Chen | Obstetrics & Gynecology | 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4373 | 2005-11-17 |
| 1932181781 | Debra Acerenza | Obstetrics & Gynecology | 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4373 | 2005-11-17 |
| Find all providers in the same location | ||||
| 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 Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| 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 |
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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.