CODY WATERMAN ADT NPI 1407639636

NPI Information

  • NPI: 1407639636
  • Provider Name: CODY WATERMAN, ADT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 205 BROADWAY ST STE 110
    FREDERICK, MD
    ZIP 21701
  • Phone: (301) 637-0222

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NPI Details

Cody Waterman, ADT is an addiction (substance use disorder) counselor in Frederick, MD. Cody Waterman, ADT NPI is 1407639636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 BROADWAY ST STE 110
FREDERICK, MD
ZIP 21701-760
Phone: (301) 637-0222

The enumeration date for this NPI number is 8/14/2023 and was last updated on 8/14/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)ADT3307MARYLANDYes

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: 11/21/2025

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