PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND (NPI# 1003988627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003988627 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND |
| Practice Address |
105 Paul Mellon Ct Suite 19, 20 Waldorf MD 20602-2762 |
| Mailing Address |
Po Box 690 Chestertown MD 21620-0690 |
| Practice Telephone | 3016387787 |
| Practice Fax Number | 3016387768 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2006-11-15 |
| 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 |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477613578 | Psychotherapeutic Services of Southern Maryland | Psychologist | 337 Brightseat Rd, Sutie 106 and 107, Landover, MD 20785-4736 | 2006-12-11 |
| 1871744946 | Psychotherapeutic Services of Southern Maryland | Case Management | 41900 Fenwick St, Suite 5, Leonardtown, MD 20650-3813 | 2008-10-07 |
| Street Address |
105 PAUL MELLON CT SUITE 19, 20 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| 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 |
| 1477613578 | Psychotherapeutic Services of Southern Maryland | Psychologist | 337 Brightseat Rd, Sutie 106 and 107, Landover, MD 20785-4736 | 2006-12-11 |
| 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.