INTERDYNAMICS INC. NPI 1013251826

NPI Information

NPI: 1013251826
Provider Name: INTERDYNAMICS, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4601 FORBES BLVD
LANHAM, MD
ZIP 20706
Phone: (301) 306-4590
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INTERDYNAMICS, INC. is a mental health counselor in Lanham, MD. INTERDYNAMICS, INC. NPI is 1013251826. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4601 FORBES BLVD
LANHAM, MD
ZIP 20706-807
Phone: (301) 306-4590
Fax: (301) 306-4591

The provider's authorized official is James Moses Ballard .
The authorized official title is Psychology and has the following contact phone number (301) 306-4590.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 11/16/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PSY354	DISTRICT OF COLUMBIA	No
2	101YP2500X	Counselor	Professional	01160	MARYLAND	No
3	103T00000X	Psychologist		01160	MARYLAND	No
4	103T00000X	Psychologist		PSY354	DISTRICT OF COLUMBIA	No
5	103TA0700X	Psychologist	Adult Development & Aging	PSY354	DISTRICT OF COLUMBIA	No
6	103TB0200X	Psychologist	Cognitive & Behavioral	01160	MARYLAND	No
7	103TC0700X	Psychologist	Clinical	01160	MARYLAND	No
8	103TC0700X	Psychologist	Clinical	PSY354	DISTRICT OF COLUMBIA	No
9	103TC1900X	Psychologist	Counseling	01160	MARYLAND	No
10	103TC2200X	Psychologist	Clinical Child & Adolescent	01160	MARYLAND	No
11	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY354	DISTRICT OF COLUMBIA	No
12	103TF0000X	Psychologist	Family	01160	MARYLAND	No
13	106H00000X	Marriage & Family Therapist		01160	MARYLAND	No
14	106H00000X	Marriage & Family Therapist		PSY354	DISTRICT OF COLUMBIA	No
15	101YM0800X	Counselor	Mental Health	01160	MARYLAND	Yes

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

NPI Synchronization or Removal

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