JOSEPH ROBERT KACHIK JR. (NPI# 1285773812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285773812 |
| Entity Type | Individual |
| Full Name | JOSEPH ROBERT KACHIK JR. |
| Credential | PHD |
| Practice Address |
5024 Campbell Blvd Suite H Baltimore MD 21236-5974 |
| Practice Telephone | 4109319280 |
| Practice Fax Number | 4109316694 |
| Mailing Telephone | 4109319280 |
| Mailing Fax Number | 4109316694 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 03641 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5024 CAMPBELL BLVD SUITE H |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215998703 | Robin I Lerner | Social Worker | 5024 Campbell Blvd, Auite H, Baltimore, MD 21236-5974 | 2006-04-01 |
| 1336463140 | White Marsh Psychiatric Associates, LLC | Social Worker | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2010-03-23 |
| 1043466147 | White Marsh Psychiatric Associates, LLC | Psychologist | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2008-08-08 |
| 1164693172 | Larry Elmer Fultz | Social Worker | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236 | 2008-03-18 |
| 1568651735 | Bay Region Psychiatric Services, LLC | Psychologist | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2007-10-23 |
| 1659595486 | Lawrence Mernaugh | Counselor | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2007-04-12 |
| 1790838639 | Gideon Eisenberg | Social Worker | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2007-01-22 |
| 1790838944 | Paul Lazor | Psychologist | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2007-01-19 |
| 1811040017 | Gedalya Lior | Psychiatry & Neurology | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2007-01-19 |
| 1427108877 | Sharon U Lohnes | Social Worker | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
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| 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] |
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| 1447787734 | Brittany Renee Patterson | Psychologist | 737 West Lombard St., Baltimore, MD 21201-2120 | 2017-05-17 |
| 1861845224 | Andrea Goddard | Psychologist | 720 Aliceanna Street, Baltimore, MD 21202 | 2016-07-20 |
| 1164870614 | Shauna Lynne | Psychologist | 1750 E Fairmount Ave Fl 4, Baltimore, MD 21231-1534 | 2016-05-25 |
| 1073985081 | Denise Bike | Psychologist | 600 Wyndhurst Ave Ste 200-a, Baltimore, MD 21210-2489 | 2015-10-29 |
| 1982087003 | Rachel Cymber Lafleur | Psychologist | 711 W 40th St # 153-363, Baltimore, MD 21211-2120 | 2015-07-07 |
| 1346639713 | Eboka Mullins | Psychologist | 419 W Redwood St Ste 570, Baltimore, MD 21201-7023 | 2015-01-22 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
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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.