ELIZABETH RENEE DISNEY (NPI# 1770505331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770505331 |
| Entity Type | Individual |
| Full Name | ELIZABETH RENEE DISNEY |
| Credential | PH.D. |
| Practice Address |
1040 Park Ave Ste 200 Baltimore MD 21201-5634 |
| Mailing Address |
2140 Peachtree Rd Nw Ste 232 Atlanta GA 30309-1316 |
| Practice Telephone | 4437380300 |
| Practice Fax Number | 4437380301 |
| Mailing Telephone | 4042314431 |
| Mailing Fax Number | 4042315677 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
04064 | MD | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 04064 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 521316900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124412119 | Elizabeth Disney | Obstetrics & Gynecology | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2015-03-27 |
| Street Address |
1040 PARK AVE STE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340230 | Thomas L Edmondson | Internal Medicine | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2006-03-16 |
| 1215577762 | Absolutecare of Baltimore, LLC | Family Medicine | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2020-01-13 |
| 1558889253 | Joshua Liu | Physician Assistant | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-09-01 |
| 1275050759 | Nimita Sharma | Pharmacist | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-25 |
| 1851817431 | Baltimore Medical System Inc | Clinic/Center | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-16 |
| 1710426069 | Katherine Pretl | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-20 |
| 1619415502 | Ella Histand | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-10 |
| 1295197176 | Elizabeth Brolund | Social Worker | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2016-03-22 |
| 1528431020 | Mary Kathleen Haber | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-11-05 |
| 1386022721 | Kelli Mccallum | Nurse Practitioner | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-05-18 |
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| 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 |
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| 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 |
|---|---|---|---|---|
| 1568020543 | Virginia Samford Hornbeck | Psychologist | 1400 W Cold Spring Ln, Baltimore, MD 21209-4904 | 2019-06-04 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1891218947 | Sahar Moise | Psychologist | 1708 West Rogers Avenue, Baltimore, MD 21209-4596 | 2017-07-20 |
| 1447787734 | Brittany Renee Patterson | Psychologist | 737 West Lombard St., Baltimore, MD 21201-2120 | 2017-05-17 |
| 1861845224 | Andrea Goddard | Psychologist | 720 Aliceanna Street, Baltimore, MD 21202 | 2016-07-20 |
| 1164870614 | Shauna Lynne | Psychologist | 1750 E Fairmount Ave Fl 4, Baltimore, MD 21231-1534 | 2016-05-25 |
| 1073985081 | Denise Bike | Psychologist | 600 Wyndhurst Ave Ste 200-a, Baltimore, MD 21210-2489 | 2015-10-29 |
| 1982087003 | Rachel Cymber Lafleur | Psychologist | 711 W 40th St # 153-363, Baltimore, MD 21211-2120 | 2015-07-07 |
| 1346639713 | Eboka Mullins | Psychologist | 419 W Redwood St Ste 570, Baltimore, MD 21201-7023 | 2015-01-22 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
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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.