UNIVERSITY PSYCHOLOGICAL CENTER, INC (NPI# 1669923462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669923462 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PSYCHOLOGICAL CENTER, INC |
| Practice Address |
201 N Charles St Suite 200 Baltimore MD 21201-4102 |
| Mailing Address |
6201 Greenbelt Rd Suite U-18 Berwyn Heights MD 20740-2354 |
| Practice Telephone | 4105769191 |
| Practice Fax Number | 4105769257 |
| Mailing Telephone | 4105769191 |
| Mailing Fax Number | 4105769257 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | DR. CLARK J HUDAK (PRESEIDENT/OWNER) |
| Authorized Official Telephone | 4105769191 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH-1587 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 422057800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245767433 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 824 N Broadway, Baltimore, MD 21205-1425 | 2017-05-18 |
| 1275060923 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 2402 Guilford Ave, Baltimore, MD 21218-5220 | 2017-05-12 |
| 1336676089 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 2425 Guilford Ave, Baltimore, MD 21218-5221 | 2017-05-12 |
| 1346777091 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 2720 Maryland Ave, Baltimore, MD 21218-4328 | 2017-05-12 |
| 1578090247 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 3623 Parkdale Avenue, Baltimore, MD 21218 | 2017-05-12 |
| 1023545795 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 2617-19 N. Calvert Street, Baltimore, MD 21218 | 2017-05-12 |
| 1750817516 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 814 N Broadway, Baltimore, MD 21205-1425 | 2017-05-11 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1073030581 | University Psychological Center, Inc | Nurse Practitioner | 425 E Patrick St, Frederick, MD 21701-5729 | 2017-08-25 |
| Street Address |
201 N CHARLES ST SUITE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255376695 | Kamil Sudan Madina | Social Worker | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2006-06-19 |
| 1932597697 | Joseph Witherspoon | Counselor | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2015-01-05 |
| 1376931022 | Maxine Gray | Counselor | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2015-01-05 |
| 1417345174 | Linda Robinson | Counselor | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2015-01-05 |
| 1093103756 | Sykia Edwards | Counselor | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2015-01-05 |
| 1275931701 | Sean Augustus | Counselor | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2014-12-16 |
| 1588068019 | Bryce Thomas Hudak | Social Worker | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2014-10-13 |
| 1255740726 | Amanda Schlossberg | Counselor | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2014-08-08 |
| 1124433412 | University Psychological Center, Inc | Community/Behavioral Health | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2014-06-25 |
| 1972931376 | University Psychological Center, Inc. | Clinic/Center | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1366056855 | The Wel Foundation, LLC. | Community/Behavioral Health | 5858 Belair Rd, Baltimore, MD 21206-2661 | 2020-09-02 |
| 1679185177 | Center for Youth and Families Inc | Community/Behavioral Health | 6304 Elinore Ave, Baltimore, MD 21206-1721 | 2020-08-18 |
| 1457977100 | Apex Wellness Group, LLC | Community/Behavioral Health | 118 E 25th St Unit 2, Baltimore, MD 21218-5281 | 2020-06-18 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1669093829 | Upcoming Enterprize Corporation | Community/Behavioral Health | 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 | 2020-04-29 |
| 1922629344 | Providing Empowerment Advocacy & Social Skills | Community/Behavioral Health | 2361 Flax Ter, Baltimore, MD 21209-4625 | 2020-04-27 |
| 1801415153 | New Life Family Services LLC | Community/Behavioral Health | 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 | 2020-04-15 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on UNIVERSITY PSYCHOLOGICAL CENTER, INC.
| 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.