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BASICS GROUP PRACTICE LLC NPI 1134486079


NPI Information

NPI: 1134486079
Provider Name: BASICS GROUP PRACTICE, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
7610 PENNSYLVANIA AVE
SUITE #203
FORESTVILLE, MD
ZIP 20747
Phone: (301) 420-1972
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BASICS GROUP PRACTICE, LLC is a clinical psychologist in Forestville, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BASICS GROUP PRACTICE, LLC NPI is 1134486079. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7610 PENNSYLVANIA AVE
SUITE #203
FORESTVILLE, MD
ZIP 20747-701
Phone: (301) 420-1972
Fax: (301) 420-1973

The provider's authorized official is Daniel N Ferebee .
The authorized official title is Ceo and has the following contact phone number (301) 420-1972.

The enumeration date for this NPI number is 4/17/2012 and was last updated on 4/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical04481MARYLANDYes

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
1036596300MEDICAIDMARYLAND
2417682100MEDICAIDMARYLAND
3417682101MEDICAIDMARYLAND

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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