PSYCHOLOGICAL ASSESSMENT, CONSULTATION, AND EVALUATION, LLC (NPI# 1063924637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063924637 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL ASSESSMENT, CONSULTATION, AND EVALUATION, LLC |
| Practice Address |
1214 Gregory Ct Odenton MD 21113-1754 |
| Practice Telephone | 4436988326 |
| Mailing Telephone | 4436988326 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | SHANNON SENEFELD (OWNER) |
| Authorized Official Telephone | 4436988326 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
05015 | MD | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
05015 | MD | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
05015 | MD | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
05015 | MD | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
05015 | MD | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05015 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1214 GREGORY CT |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700124591 | Shannon Senefeld | Psychologist | 214 Ammunition Ave, Odenton, MD 21113-2660 | 2013-01-29 |
| 1942463989 | Page Odom | Psychologist | 8288 Telegraph Rd, Suite A, Odenton, MD 21113-1130 | 2008-07-09 |
| 1053409516 | Stephanie Kundrat Glassman | Psychologist | 1223 Annapolis Rd, Suite A, Odenton, MD 21113-1328 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497029 | Myles Schaultz | Psychologist | 202 Easton S Apt 101, Laurel, MD 20724-2131 | 2020-11-04 |
| 1609475979 | The Green Garden, LLC | Psychologist | 10635 York Rd Fl 2, Cockeysville, MD 21030-2357 | 2020-10-19 |
| 1225636830 | Samantha Reaves | Psychologist | 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815-5846 | 2020-10-15 |
| 1730786039 | Lisa Anne Joseph | Psychologist | 114 Lynnmoor Dr, Silver Spring, MD 20901-1515 | 2020-10-08 |
| 1619574365 | Brittany Pereira | Psychologist | 15744 Crabbs Branch Way, Derwood, MD 20855-2686 | 2020-10-06 |
| 1720695588 | Lisa Marie Moscatiello | Psychologist | 6618 Cockerille Ave, Takoma Park, MD 20912-4732 | 2020-09-25 |
| 1508473638 | Elisa D'olivier Ndombele -sisler | Psychologist | 3225 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-09-23 |
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1265044754 | Green Hill Psychotherapy | Psychologist | 112 Greenhill Rd, Greenbelt, MD 20770-1662 | 2020-08-18 |
| 1982214326 | Catherine Louise Ford | Psychologist | 3601 Nicholson St, Hyattsville, MD 20782-3234 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PSYCHOLOGICAL ASSESSMENT, CONSULTATION, AND EVALUATION, 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.