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UNIVERSITY CARE NPI 1629210166


NPI Information

NPI: 1629210166
Provider Name: UNIVERSITY CARE
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4538 EDMONDSON AVE
BALTIMORE, MD
ZIP 21229
Phone: (410) 328-2273
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UNIVERSITY CARE is a health service psychologist in Baltimore, MD. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). UNIVERSITY CARE NPI is 1629210166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4538 EDMONDSON AVE
BALTIMORE, MD
ZIP 21229-506
Phone: (410) 328-2273
Fax: (301) 631-1002

The provider's authorized official is Trent Smith .
The authorized official title is Sr. Vice President and has the following contact phone number (410) 328-1184.

The enumeration date for this NPI number is 3/30/2009 and was last updated on 3/30/2009.


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
1103TH0100XPsychologistHealth ServiceYes

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
1400506600MEDICAIDMARYLAND

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: 4/28/2024

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