DR. LISA HEIDELMAIER


Address: 6101 Old Harford Rd, Baltimore, MD 21214-1715
Phone: 4105453086

DR. LISA HEIDELMAIER (NPI# 1891253845) 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) 1891253845
Entity Type Individual
Full Name DR. LISA HEIDELMAIER
Credential PSYD
Practice Address 6101 Old Harford Rd
Baltimore
MD 21214-1715
Practice Telephone 4105453086
Mailing Telephone 4105453086
Mailing Fax Number 4105457870
Enumeration Date 2019-03-08
Last Update Date 2019-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
03973 MD Behavioral Health & Social Service Providers

Office Location

Street Address 6101 OLD HARFORD RD
City BALTIMORE
State MD
Zip Code 21214-1715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801352547 David Brian Mchale Social Worker 6101 Old Harford Rd, Baltimore, MD 21214-1715 2019-02-19

Providers in the same zip code

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1811544034 Emani Williams Behavior Technician 4606 Walker Avenue, Baltimore, MD 21214 2019-08-22
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1528432143 Beverly Jean Tellis Social Worker 6310 Harford Road, Baltimore, MD 21214 2015-11-19
1972848745 Amy M Young Occupational Therapist 5908 Edna Ave, Baltimore, MD 21214 2012-12-05
1306112693 The Good Samaritan Hospital of Maryland, Inc. Clinic/Center 4700 Hartford Road, Baltimore, MD 21214 2012-03-30
1578731824 Rebecca Michele Green Speech-Language Pathologist 5302 Plymouth Road, Baltimore, MD 21214 2008-02-20
1891975918 Karen Schmidt Occupational Therapist 604 Hartford Rd., Baltimore, MD 21214 2007-11-06
1972790533 Patricia Mary Marchetti Smith Speech-Language Pathologist 2709 Woodsdale Avenue, Baltimore, MD 21214 2007-09-27
1780896290 Scott David Hubert Dentist 5810 Harford Rd, Baltimore, MD 21214 2007-05-04
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1376176974 Jennifer May Lorenzo Psychologist 209 W Fayette St Fl 4, Baltimore, MD 21201-3403 2020-02-21
1235774878 Sarah E Ryan Psychologist 707 Grundy St, Baltimore, MD 21224-4344 2019-11-07
1205494200 Ophira Weiskopf Psychologist 3705 W Rogers Ave, Baltimore, MD 21215-4525 2019-06-04
1487129813 Mental Health Assessment and Wellness, LLC Psychologist 5911 York Rd Ste 100, Baltimore, MD 21212-3048 2018-10-12
1023594017 Yaakov Shugarman Psychologist 5603 Newbury St, Baltimore, MD 21209-3603 2018-07-13
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Competitor

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City BALTIMORE
Zip Code 21214

Improve Information

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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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