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CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC NPI 1003938846


NPI Information

NPI: 1003938846
Provider Name: CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
155 LOG CANOE CIR
STEVENSVILLE, MD
ZIP 21666
Phone: (410) 604-0226
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CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC is a psychologist in Stevensville, MD. The provider is 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. CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC NPI is 1003938846. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 LOG CANOE CIR
STEVENSVILLE, MD
ZIP 21666
Phone: (410) 604-0226
Fax: (877) 643-0126

The provider's authorized official is Catherine Marie Smithmyer .
The authorized official title is Owner Psychologist and has the following contact phone number (410) 604-0226.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/20/2020.


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
1103TC0700XPsychologistClinical03850MARYLANDNo
2103TC2200XPsychologistClinical Child & Adolescent03850MARYLANDNo
3103TF0000XPsychologistFamily03850MARYLANDNo
4103T00000XPsychologist03850MARYLANDYes

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
11922164177OTHERINDIVIDUAL NPI OF OWNER

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

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