DR. AMBER K PENUEL (NPI# 1710221031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710221031 |
| Entity Type | Individual |
| Full Name | DR. AMBER K PENUEL |
| Credential | PSY.D. |
| Practice Address |
10776 Grays Corner Rd. Suite 2 Berlin MD 21811 |
| Practice Telephone | 4102137875 |
| Practice Fax Number | 4102137877 |
| Mailing Telephone | 4102137875 |
| Mailing Fax Number | 4102137877 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05296 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10776 GRAYS CORNER RD. SUITE 2 |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215006598 | Mary E Kaul Black | Social Worker | 10776 Grays Corner Rd., Suite 2, Berlin, MD 21811 | 2006-11-08 |
| 1922410109 | Seaside Counseling & Wellness Center | Counselor | 10776 Grays Corner Rd., Suite 2, Berlin, MD 21811 | 2014-05-22 |
| 1285905208 | Jessica Megary Hagy | Social Worker | 10776 Grays Corner Rd., Suite 2, Berlin, MD 21811 | 2012-01-23 |
| 1326179813 | Amy P Ginnavan | Counselor | 10776 Grays Corner Rd., Suite 2, Berlin, MD 21811 | 2007-03-08 |
| 1306975446 | Debra Ann Dotson | Social Worker | 10776 Grays Corner Rd., Suite 2, Berlin, MD 21811 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780840231 | Lula Drewes | Psychologist | Bischweiler Str. 16, Berlin, GERMANY 14163 | 2008-08-04 |
| 1336259365 | Laurance Thompson | Psychologist | 130 Fisher Rd Ste 1-6, Berlin, VT 05602-9000 | 2006-08-31 |
| 1285759530 | Kay Elizabeth Barrett | Psychologist | 130 Fisher Rd, Suite 1-6, Berlin, VT 05602-9516 | 2007-03-19 |
| 1194813527 | Tracy A Loysen | Psychologist | 641 Comstock Rd, Ste 3, Berlin, VT 05602 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497029 | Myles Schaultz | Psychologist | 202 Easton S Apt 101, Laurel, MD 20724-2131 | 2020-11-04 |
| 1609475979 | The Green Garden, LLC | Psychologist | 10635 York Rd Fl 2, Cockeysville, MD 21030-2357 | 2020-10-19 |
| 1225636830 | Samantha Reaves | Psychologist | 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815-5846 | 2020-10-15 |
| 1730786039 | Lisa Anne Joseph | Psychologist | 114 Lynnmoor Dr, Silver Spring, MD 20901-1515 | 2020-10-08 |
| 1619574365 | Brittany Pereira | Psychologist | 15744 Crabbs Branch Way, Derwood, MD 20855-2686 | 2020-10-06 |
| 1720695588 | Lisa Marie Moscatiello | Psychologist | 6618 Cockerille Ave, Takoma Park, MD 20912-4732 | 2020-09-25 |
| 1508473638 | Elisa D'olivier Ndombele -sisler | Psychologist | 3225 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-09-23 |
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1265044754 | Green Hill Psychotherapy | Psychologist | 112 Greenhill Rd, Greenbelt, MD 20770-1662 | 2020-08-18 |
| 1982214326 | Catherine Louise Ford | Psychologist | 3601 Nicholson St, Hyattsville, MD 20782-3234 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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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.