POTOMAC GROVE PSYCHIATRY (NPI# 1912111667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912111667 |
| Entity Type | Organization |
| Organization Name | POTOMAC GROVE PSYCHIATRY |
| Practice Address |
8915 Shady Grove Ct Gaithersburg MD 20877-1308 |
| Practice Telephone | 3019630060 |
| Practice Fax Number | 3012587482 |
| Mailing Telephone | 3019630060 |
| Mailing Fax Number | 3012587482 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | DR. LOUIS E KOPOLOW (OWNER) |
| Authorized Official Telephone | 3019630060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | D0016788 | MD | Behavioral Health & Social Service Providers |
| Street Address |
8915 SHADY GROVE CT |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428694 | Louis E Kopolow | Psychiatry & Neurology | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-06-21 |
| 1528045325 | John Boyd | Counselor | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-12-22 |
| 1992792428 | Sandra Kay Ashoff | Registered Nurse | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-09-30 |
| 1720086564 | Judy Ann Tyson | Psychologist | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-07-13 |
| 1548268832 | Karen Krenitsky Phinney | Clinical Nurse Specialist | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-07-11 |
| 1912903089 | Cynthia A Turner-graham | Psychiatry & Neurology | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| 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 |
|---|---|---|---|---|
| 1942678883 | Jessica Hasson | Psychologist | 60 Market St Ste 207, Gaithersburg, MD 20878-6559 | 2015-09-09 |
| 1619360385 | Elsie M. Gordon, Ph.d., LLC | Psychologist | 13-15 E Deer Park Dr Ste 103d, Gaithersburg, MD 20877-2070 | 2015-03-05 |
| 1801212329 | Judi Frum | Psychologist | 31 Allenhurst Ct, Gaithersburg, MD 20878-1934 | 2014-03-07 |
| 1952641334 | Emma E Sholtis | Psychologist | 707 Conservation Ln Ste 300, Gaithersburg, MD 20878-2983 | 2013-02-22 |
| 1134468853 | Anna Lee Burns | Psychologist | 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789 | 2013-02-01 |
| 1265669121 | Amy Sherell Walker | Psychologist | 310 Palmspring Dr, Gaithersburg, MD 20878-2941 | 2009-06-18 |
| 1457410466 | Patricia Ann Edmister | Psychologist | 110 Driscoll Way, Gaithersburg, MD 20878-5209 | 2006-12-06 |
| 1861567588 | Grazyna Teresa Guttenberg | Psychologist | 111 Ridgepoint Pl, Gaithersburg, MD 20878-5728 | 2006-11-21 |
| 1275513251 | Circle Treatment Center PC | Psychologist | 424 N Frederick Ave, 8a, Gaithersburg, MD 20877-2433 | 2006-01-18 |
| 1265052526 | Judy Ricci | Psychologist | 610 Professional Dr Ste 255, Gaithersburg, MD 20879-3463 | 2020-04-16 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.