DR. THEODORE PICKETT JR. (NPI# 1417475047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417475047 |
| Entity Type | Individual |
| Full Name | DR. THEODORE PICKETT JR. |
| Credential | PH.D. |
| Practice Address |
4281 Chapel Lane College Park MD 20742 |
| Practice Telephone | (301) 314-7667 |
| Mailing Telephone | 3013147667 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
04682 | MD | Behavioral Health & Social Service Providers |
| Street Address |
4281 CHAPEL LANE |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811320393 | Andrea Megan Winsor-lovely | Physician Assistant | 140 Campus Drive, College Park, MD 20742 | 2013-08-19 |
| 1336499151 | George Thekkanattu Thomas | Physician Assistant | Building 140 Campus Drive, University Health Center, College Park, MD 20742 | 2012-09-19 |
| 1386944742 | Kimberly Lynn Pfister | Physician Assistant | University Health Center Bldg 140, University of Maryland, College Park, MD 20742 | 2010-11-01 |
| 1144463449 | Dianne Handy | Speech-Language Pathologist | Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Parkl, MD 20742 | 2009-04-16 |
| 1477796902 | Colleen K Worthington | Speech-Language Pathologist | Dept. of Hearing & Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-04-14 |
| 1518100189 | Vivian Diane Sisskin | Speech-Language Pathologist | 0100 Lefrak Hall, Dept. of Hearing & Speech Scienceuniversity of Maryland, College Park, MD 20742 | 2009-04-13 |
| 1235351859 | Judith Ann Chernoff | Internal Medicine | University of Maryland University Health Center, Building 140, Campus Drive, College Park, MD 20742 | 2007-05-03 |
| 1265563001 | Sacared Bodison | Pediatrics | University Health Center - University of Maryland, Building 140, College Park, MD 20742 | 2007-03-07 |
| 1417097403 | Deirdre A Younger | Pharmacist | Bldg 140 Campus Drive, University of Maryland University Health Center, College Park, MD 20742 | 2007-02-07 |
| 1811131048 | Paula Christine Schauer | Audiologist | Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-05-01 |
| Find all providers in zip 20742 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
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| 1003296617 | Myra Waters | Psychologist | 9658 Baltimore Ave, #240, College Park, MD 20740-1346 | 2015-06-09 |
| 1003224494 | Noah Collins | Psychologist | University of Maryland Counseling Ctr, Shoemaker Building - Room 1133, College Park, MD 20742-0001 | 2014-07-29 |
| 1578789038 | Sharon Kirkland-gordon | Psychologist | Shoemaker Building, College Park, MD 20742-8111 | 2007-04-17 |
| 1598237166 | Joy Stephens | Psychologist | 9658 Baltimore Ave, College Park, MD 20740-1346 | 2018-12-20 |
| 1770603441 | Linda Elaine Bessett | Psychologist | 7307 Baltimore Ave, Suite 208, College Park, MD 20740-3231 | 2007-03-29 |
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|---|---|---|---|---|
| 1154947422 | Kathryn Victoria Kline | Psychologist | 8137 Greenbelt Station Pkwy, Greenbelt, MD 20770-4077 | 2020-06-22 |
| 1801412333 | At The Top Wellness, LLC | Psychologist | 8775 Centre Park Dr # M763, Columbia, MD 21045-2177 | 2020-06-20 |
| 1154942936 | Heather Ganginis Delpino | Psychologist | 5 Horizon Ct, Derwood, MD 20855-1347 | 2020-05-03 |
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1790325512 | Step of Faith, LLC | Psychologist | 6302 N Point Rd Unit C, Sparrows Point, MD 21219-1040 | 2020-01-09 |
| 1598301608 | Tymesha Anita Savoy | Psychologist | 5210 Carswell Ave, Camp Springs, MD 20746-3941 | 2019-11-24 |
| 1235772575 | Covenant Psychiatric and Mental Health Services, LLC | Psychologist | 8507 Oxon Hill Rd # S200-4, Fort Washington, MD 20744-4766 | 2019-10-18 |
| 1033763214 | Relational Excellence, LLC | Psychologist | 898 Airport Park Rd Ste 101, Glen Burnie, MD 21061-2521 | 2019-07-26 |
| 1285299750 | Danita Wynes | Psychologist | 8737 Colesville Rd Ste 801, Silver Spring, MD 20910-3968 | 2019-05-09 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20742 |
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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.