DR. MARTIN BRUCE KORETZKY (NPI# 1205977204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205977204 |
| Entity Type | Individual |
| Full Name | DR. MARTIN BRUCE KORETZKY |
| Credential | PH.D. |
| Practice Address |
10751 Falls Rd Lutherville MD 21093-4517 |
| Mailing Address |
6513 Gardenwick Rd Baltimore MD 21209-2537 |
| Practice Telephone | 4108233626 |
| Practice Fax Number | 4102965018 |
| Mailing Telephone | 4108233626 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 1741 | MD | Behavioral Health & Social Service Providers |
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1741 | MD | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1741 | MD | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
1741 | MD | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
1741 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10751 FALLS RD |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323630 | Stephen Wesley Wilson | Nurse Anesthetist, Certified Registered | 10751 Falls Rd, Suite 425, Lutherville, MD 21093-4517 | 2005-08-22 |
| 1023556321 | Debrahe K. Rowland | Nurse Practitioner | 10751 Falls Rd, Lutherville, MD 21093-4517 | 2017-02-07 |
| 1447587878 | Bare Necessities, Ltd | Durable Medical Equipment & Medical Supplies | 10751 Falls Rd, Suite 121, Lutherville, MD 21093-4517 | 2009-11-05 |
| 1598090649 | Brian Kevin Schmitt | Psychologist | 10751 Falls Rd, Suite 435, Lutherville, MD 21093-4517 | 2009-10-07 |
| 1407181555 | Harry Louis Legum | Counselor | 10751 Falls Rd, Suite 435, Lutherville, MD 21093-4517 | 2009-10-07 |
| 1194970319 | Gss Anesthesia LLC | Anesthesiology | 10751 Falls Rd, Ste 401, Lutherville, MD 21093-4517 | 2008-12-02 |
| 1811141724 | Valerie Dawson Goodman | Social Worker | 10751 Falls Rd, Suite 306,falls Concourse, Lutherville, MD 21093-4517 | 2008-11-05 |
| 1548411564 | David Goodman | Psychiatry & Neurology | 10751 Falls Rd, 306, Lutherville, MD 21093-4517 | 2008-10-08 |
| 1942482070 | William J. Ravich, M.d., L.L.C. | Internal Medicine | 10751 Falls Rd, Suite 401, Lutherville, MD 21093-4517 | 2007-11-30 |
| 1326231424 | David M. Cromwell, M.d., P.a. | Internal Medicine | 10751 Falls Rd, Ste 401, Lutherville, MD 21093-4517 | 2007-08-22 |
| Find all providers in the same location | ||||
| 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 |
| 1063890556 | Neurothrive, LLC | Psychologist | 1205 York Rd Ste 11, Lutherville, MD 21093-6211 | 2015-05-15 |
| 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 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.