DR. LINDSAY D CLENDANIEL (NPI# 1487882163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487882163 |
| Entity Type | Individual |
| Full Name | DR. LINDSAY D CLENDANIEL |
| Credential | PH.D. |
| Practice Address |
877 Baltimore Annapolis Blvd Ste 303 Severna Park MD 21146-4700 |
| Mailing Address |
Po Box 843 Arnold MD 21012-0843 |
| Practice Telephone | 4439061132 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
877 BALTIMORE ANNAPOLIS BLVD STE 303 |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013466572 | Pedspsych LLC | Psychologist | 877 Baltimore Annapolis Blvd Ste 303, Severna Park, MD 21146-4700 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013466572 | Pedspsych LLC | Psychologist | 877 Baltimore Annapolis Blvd Ste 303, Severna Park, MD 21146-4700 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998829 | Anna Elizabeth Pozzatti | Psychologist | 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 | 2020-09-23 |
| 1356969802 | Together We Rise LLC | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-10 |
| 1336769561 | Breakthrough Therapeutic Concepts, LLC. | Psychologist | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 | 2020-04-17 |
| 1033772272 | Stephanie Judd | Psychologist | 3901 Rosemary St, Chevy Chase, MD 20815-5223 | 2019-04-14 |
| 1942794870 | Annie Rabinovitch | Psychologist | 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 | 2018-06-14 |
| 1972094167 | Bk Behavioral Health Center | Psychologist | 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 | 2018-05-23 |
| 1477938215 | Deborah A Odonnell, Phd, Clinical Psychologist, LLC | Psychologist | 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887 | 2015-07-22 |
| 1336535319 | Roderick Irving Wellington | Psychologist | 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 | 2015-04-07 |
| 1225438344 | Marjorie Katherine Mccalla | Psychologist | 720 Aliceanna St, Baltimore, MD 21202-4387 | 2014-08-26 |
| 1992122923 | Kendel Wylie-pugh | Psychologist | 4309 Travancore Ct, Randallstown, MD 21133-1315 | 2014-03-27 |
| Find all providers with the same taxonomy | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
Please comment or provide details below to improve the information on DR. LINDSAY D CLENDANIEL.
| 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.