NEUROTHRIVE, LLC (NPI# 1063890556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063890556 |
| Entity Type | Organization |
| Organization Name | NEUROTHRIVE, LLC |
| Practice Address |
1205 York Rd Ste 11 Lutherville MD 21093-6211 |
| Mailing Address |
13941 Alderton Rd Silver Spring MD 20906-2063 |
| Practice Telephone | 4438109483 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MR. MARK TRULLINGER (OWNER) |
| Authorized Official Telephone | 4438109483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 04502 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1205 YORK RD STE 11 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| 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 |
|---|---|---|---|---|
| 1023544723 | Samuel Greenberg | Psychologist | 2328 W Joppa Rd Ste 10, Lutherville, MD 21093-4613 | 2017-05-02 |
| 1063707024 | Tanisha E Drummond | Psychologist | 2324 W Joppa Rd Ste 130, Lutherville, MD 21093-4615 | 2011-06-17 |
| 1124251038 | Hayley I Porter | Psychologist | 11763 Greenspring Ave, Lutherville, MD 21093-1428 | 2009-08-26 |
| 1669694816 | Barbara Ruth Cavanagh | Psychologist | 10755 Falls Rd Ste 260, Johns Hopkins At Green Spring Station, Lutherville, MD 21093-4520 | 2007-05-03 |
| 1184766305 | Jo Ellyn Pederson | Psychologist | 2360 W Joppa Rd Ste 216, Lutherville, MD 21093 | 2007-02-13 |
| 1801985353 | Christine Mccall Marshall | Psychologist | 51 Thornhill Rd, Lutherville, MD 21093-5806 | 2006-10-12 |
| 1285640193 | Marc Jonathan Weinstein | Psychologist | 2360 W Joppa Road, # 219, Lutherville, MD 21093-4624 | 2006-07-31 |
| 1114491834 | Cc Behavioral Health Ltd | Psychologist | 2324 W Joppa Rd Ste 130, Lutherville, MD 21093 | 2019-01-15 |
| 1942681440 | Theresa Scott, Psy.d., LLC | Psychologist | 22 W Padonia Rd, Suite A-203, Lutherville, MD 21093-2226 | 2015-06-11 |
| 1992062533 | Kristin O'donnell | Psychologist | 1818 Pot Spring Rd, Suite 30, Lutherville, MD 21093-4445 | 2012-04-20 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
Please comment or provide details below to improve the information on NEUROTHRIVE, LLC.
| 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.