CENTRE PARK COUNSELING CENTER LLC (NPI# 1003040742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003040742 |
| Entity Type | Organization |
| Organization Name | CENTRE PARK COUNSELING CENTER LLC |
| Practice Address |
8808 Centre Park Dr Second Floor Columbia MD 21045-2126 |
| Mailing Address |
10141 Bell Inn Ln Ellicott City MD 21042-5650 |
| Practice Telephone | 3176906013 |
| Mailing Telephone | 3176906013 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | MR. JOSEPH P DELLINGER (ADMINISTRATOR) |
| Authorized Official Telephone | 3176906013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
8808 CENTRE PARK DR SECOND FLOOR |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316999840 | Carolyn Wyatt | Family Medicine | 8808 Centre Park Dr, Suite 206, Columbia, MD 21045-2126 | 2006-05-16 |
| 1053634832 | Sang Min Lee | Chiropractor | 8808 Centre Park Dr, Suite 208, Columbia, MD 21045-2126 | 2010-03-08 |
| 1861660839 | Richard A. Fein, Dmd, Pa | Dentist | 8808 Centre Park Dr, Suite 210, Columbia, MD 21045-2126 | 2008-02-13 |
| 1982806691 | Ghulam Murtaza | Dentist | 8808 Centre Park Dr, Suite 210, Columbia, MD 21045-2126 | 2007-06-04 |
| 1114015161 | Ted David Annenberg | Acupuncturist | 8808 Centre Park Dr, Suite 103, Columbia, MD 21045-2126 | 2006-10-11 |
| 1336167451 | Richard Fein | Dentist | 8808 Centre Park Dr, Suite 210, Columbia, MD 21045-2126 | 2006-07-17 |
| 1578515706 | Uma Murthy | Internal Medicine | 8808 Centre Park Dr, Ste 201, Columbia, MD 21045-2221 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413493 | Dominica B Hernandez | Psychologist | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-08 |
| 1326653957 | Brittany A Soto | Psychologist | 2038 Lake Murray Blvd Apt 8203, Columbia, SC 29212-0843 | 2020-09-10 |
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1003424474 | Minds Matter Psychological Services | Psychologist | 10015 Old Columbia Rd Ste B33, Columbia, MD 21046-1703 | 2020-07-21 |
| 1457987828 | Anne Marie Zwycewicz | Psychologist | 6510 Belleview Dr, Columbia, MD 21046-1000 | 2020-03-18 |
| 1932757127 | Brienne Allen Schaeffer | Psychologist | 1409 Devine St Fl 3, Columbia, SC 29208-3902 | 2019-08-30 |
| 1285192120 | Doris Paez | Psychologist | 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 | 2019-03-11 |
| 1801354188 | Better Self Counseling LLC | Psychologist | 8640 Guilford Rd Ste 220, Columbia, MD 21046-2671 | 2019-03-06 |
| 1942767538 | Jennifer Nicole Merrifield | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2019-03-01 |
| 1346711439 | Natalie Gwin | Psychologist | 10630 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-3264 | 2018-12-16 |
| Find all providers in COLUMBIA | ||||
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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.