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MAIN STREET MOBILE TREATMENT ASSOCIATES INC NPI 1134139637


NPI Information

NPI: 1134139637
Provider Name: MAIN STREET MOBILE TREATMENT ASSOCIATES INC

Doing Business As: MAIN STREET COMMUNITY MENTAL HEALTH CENTER

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
37 MAIN ST
REISTERSTOWN, MD
ZIP 21136
Phone: (410) 526-7882
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MAIN STREET MOBILE TREATMENT ASSOCIATES INC is a psychologist in Reisterstown, 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. MAIN STREET MOBILE TREATMENT ASSOCIATES INC NPI is 1134139637. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Main Street Community Mental Health Center.

The provider's business location address is:

37 MAIN ST
REISTERSTOWN, MD
ZIP 21136-236
Phone: (410) 526-7882
Fax: (410) 526-9855

The provider's authorized official is Nicole J Ryan .
The authorized official title is Office Coordinator and has the following contact phone number (410) 526-7882.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/28/2019.


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
11041C0700XSocial WorkerClinicalNo
2101Y00000XCounselorNo
3101YM0800XCounselorMental HealthNo
4103T00000XPsychologistYes

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
1404353700MEDICAIDMARYLAND

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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