DR. WILLIAM SHORE (NPI# 1487650404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487650404 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM SHORE |
| Practice Address |
3720 Farragut Ave Ste 103 Kensington MD 20895-2110 |
| Practice Telephone | 3019348811 |
| Practice Fax Number | 3019349321 |
| Mailing Telephone | 3019348811 |
| Mailing Fax Number | 3019349321 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2282 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAGELLAN | 458821000 | 01 |
| MD | MAMSI/ALLIANCE | 412350 | 01 |
| MD | 254102500 | 05 | |
| MD | BLUE CROSS | 52475204 | 01 |
| MD | VALUE OPTIONS | 001089 | 01 |
| MD | KAISER | 2282 | 01 |
| DC | BLUE CROSS | H1630001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790700367 | William Barry Shore | Family Medicine | 1001 Potrero Ave, Bldg 80 Ward 83, San Francisco, CA 94110-3518 | 2006-07-13 |
| Street Address |
3720 FARRAGUT AVE STE 103 |
| City | KENSINGTON |
| State | MD |
| Zip Code | 20895-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114221280 | Professional Services of Holy Cross | Internal Medicine | 3720 Farragut Ave, Kensington, MD 20895-2110 | 2011-01-05 |
| 1326280132 | Courtney Cohen | Social Worker | 3720 Farragut Ave, Suite 103, Kensington, MD 20895-2110 | 2009-03-26 |
| 1912086356 | Linda Lee Arvin | Counselor | 3720 Farragut Ave, Suite 103, Kensington, MD 20895-2110 | 2006-11-05 |
| 1629157698 | Robert Neil Barnett | Dentist | 3720 Farragut Ave, Suite 101, Kensington, MD 20895 | 2006-11-02 |
| 1588626139 | Jeanne Pomar Asher | Internal Medicine | 3720 Farragut Ave, Kensington, MD 20895-2110 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015457 | Express Yourself Therapy | Occupational Therapist | 3930 Kowles Ave Suite 306, Kensington, MD 20895 | 2020-02-20 |
| 1891343992 | Christine Brandt | Nurse Practitioner | 10605 Concord St Ste 300, Kensington, MD 20895 | 2019-09-01 |
| 1194291765 | Kevin Charles Lorello | Physical Therapy Assistant | Kensington Park, 3620 Littledale Rd, Kensington, MD 20895 | 2018-10-22 |
| 1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
| 1659865673 | Edward Li | Pharmacist | 5110 Nicholson Lane, Kensington, MD 20895 | 2018-06-22 |
| 1245735919 | Kyeshia White | Behavior Technician | 5268-g Nicholson Lane #188, Kensington, MA 20895 | 2018-03-26 |
| 1073036778 | Andrea Zawatsky | Social Worker | 20895 Concord St, 207, Kensington, MD 20895 | 2017-07-25 |
| 1871981860 | Rebecca Abramson | Counselor | 3702 Perry Ave, Kensington, MD 20895 | 2014-12-30 |
| 1730505744 | Claire Lerner | Social Worker | 3841 Farragut Avenue, Abrams and Associates, Kensington, MD 20895 | 2014-03-14 |
| 1588002224 | Yitbarek Abebe | Pharmacist | 3200 Red Orchid Way, Kensington, MD 20895 | 2013-06-04 |
| Find all providers in zip 20895 | ||||
| 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 |
|---|---|---|---|---|
| 1730706912 | Albert Petitpas | Psychologist | 130 Butternut Ln, Kensington, CT 06037-1200 | 2020-07-03 |
| 1679942536 | Pamela Barrigher | Psychologist | 9907 La Duke Dr, Kensington, MD 20895-3140 | 2015-09-22 |
| 1962607523 | Kathryn M. Rickard | Psychologist | 3720 Farragut Ave., Suite 103, Kensington, MD 20895-2110 | 2007-06-15 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1932223393 | Mary Donnelly | Psychologist | 3800 Denfeld Ave, Kensington, MD 20895-1603 | 2007-03-19 |
| 1912059973 | Miriam Marsolais | Psychologist | 376 Colusa Ave, Kensington, CA 94707-1213 | 2007-01-18 |
| 1811005465 | Elizabeth Buck | Psychologist | 350 Berkeley Park Blvd, Ste 3, Kensington, CA 94707 | 2006-08-25 |
| 1326036336 | David Ira Sommers | Psychologist | 3750 University Blvd W, Suite 304, Kensington, MD 20895-2136 | 2005-10-12 |
| 1447807953 | Guidelight Mental Health, LLC | Psychologist | 3717 Decatur Ave Ste 1, Kensington, MD 20895-2148 | 2019-08-20 |
| 1003264342 | New Beginnings Wellness Center, LLC | Psychologist | 10410 Kensington Pkwy, Suite 104, Kensington, MD 20895-2943 | 2016-05-26 |
| Find all providers in KENSINGTON | ||||
| City | KENSINGTON |
| Zip Code | 20895 |
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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.