Provider Type Icon

FAMILY SERVICE FOUNDATION INC NPI 1093039182


NPI Information

NPI: 1093039182
Provider Name: FAMILY SERVICE FOUNDATION, INC

Former Legal Business Name: FAMILY SERVICE OF PRINCE GEORGES COUNTY, INC

Classification: Psychologist - 103TR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
306 DELAWARE ROAD
FREDERICK, MD
ZIP 21701
Phone: (301) 378-0261
Get Directions

FAMILY SERVICE FOUNDATION, INC is a rehabilitation psychologist in Frederick, MD. The provider is a psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities. FAMILY SERVICE FOUNDATION, INC NPI is 1093039182. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Family Service Of Prince Georges County, Inc.

The provider's business location address is:

306 DELAWARE ROAD
FREDERICK, MD
ZIP 21701-618
Phone: (301) 378-0261
Fax: (301) 378-0267

The provider's authorized official is Daphne Smith .
The authorized official title is Billing Manager and has the following contact phone number (301) 459-2121.

The enumeration date for this NPI number is 3/18/2010 and was last updated on 9/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TR0400XPsychologistRehabilitation4163MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1320741200MEDICAIDMARYLAND
2197345MEDICARE PINMARYLAND
3177772MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.