UNIVERSITY PSYCHOLOGICAL CENTER (NPI# 1609392547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609392547 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PSYCHOLOGICAL CENTER |
| Practice Address |
425 E Patrick St Frederick MD 21701-5729 |
| Mailing Address |
6201 Greenbelt Rd Ste U18 Berwyn Heights MD 20740-2361 |
| Practice Telephone | 4105769191 |
| Mailing Telephone | 3013451919 |
| Mailing Fax Number | 3013455779 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Authorized Official Name | DR. CLARK J HUDAK JR. (PRESEIDENT/CEO) |
| Authorized Official Telephone | 4105769191 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154659423 | University Psychological Center | Psychiatry & Neurology | 6201 Greenbelt Rd, Suite U-18, Berwyn Heights, MD 20740-2354 | 2009-11-25 |
| Street Address |
425 E PATRICK ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609953 | Wells House, Inc | Substance Abuse Rehabilitation Facility | 425 E Patrick St, Frederick, MD 21701-5729 | 2016-06-06 |
| 1073030581 | University Psychological Center, Inc | Nurse Practitioner | 425 E Patrick St, Frederick, MD 21701-5729 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169548 | Bradley Shearer | Counselor | 6087 Flagstone Ct, Frederick, MD 21701-5847 | 2020-09-23 |
| 1144853847 | Caroline Carey | Counselor | 6540 Newton Dr, Frederick, MD 21703-2747 | 2020-02-20 |
| 1093377525 | James Robert Rose | Counselor | 31 W Patrick St Apt 401, Frederick, MD 21701-5563 | 2019-07-04 |
| 1679059562 | David Sherwin | Counselor | 205 Broadway St Fl 2, Frederick, MD 21701-6501 | 2018-07-14 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1851828826 | Christina L Poff-long | Counselor | 1003 W 7th St Ste 200, Frederick, MD 21701-4106 | 2017-05-21 |
| 1215461397 | Carter Caring Counseling | Counselor | 721 Holden Rd, Frederick, MD 21701-3406 | 2017-04-17 |
| 1184165904 | Frederick Center for Marriage and Family Therapy, LLC | Counselor | 129 E Patrick St # 25, Frederick, MD 21701-6172 | 2017-03-13 |
| 1073052593 | Nicole Lynn Simpson | Counselor | 5479 Shoshone Dr, Frederick, CO 80504-5815 | 2017-02-16 |
| 1578016473 | Jennifer Tibbs | Counselor | 6721 Sandpiper Ct, Frederick, MD 21703-7178 | 2016-07-27 |
| Find all providers in FREDERICK | ||||
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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.