Provider Type Icon

PSYCHOLOGICAL SERVICES CENTER LLC NPI 1215043666


NPI Information

NPI: 1215043666
Provider Name: PSYCHOLOGICAL SERVICES CENTER, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
41900 FENWICK ST
SUITE 1
LEONARDTOWN, MD
ZIP 20650
Phone: (301) 475-9660
Get Directions

PSYCHOLOGICAL SERVICES CENTER, LLC is a counselor in Leonardtown, MD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. PSYCHOLOGICAL SERVICES CENTER, LLC NPI is 1215043666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41900 FENWICK ST
SUITE 1
LEONARDTOWN, MD
ZIP 20650-813
Phone: (301) 475-9660
Fax: (301) 475-8810

The provider's authorized official is Jennifer Christa Willoughby .
The authorized official title is President and has the following contact phone number (301) 475-9660.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/8/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERMARYLANDLIFE ERA
2=========OTHERMARYLANDINOVA
3=========OTHERMARYLANDCERIDIAN
4=========OTHERMARYLANDAETNA
5=========OTHERMARYLANDCARE BRIDGE
6=========OTHERMARYLANDNEAS
7=========OTHERMARYLANDBHS
8=========OTHERMARYLANDKAISER
9=========OTHERMARSHALL ISLANDSNEW DIRECTIONS
10182NMEDICARE PINMARYLAND

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: 5/5/2024

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.