EASTERN SHORE PSYCHOLOGICAL SERVICE NPI 1548348402

NPI Information

NPI: 1548348402
Provider Name: EASTERN SHORE PSYCHOLOGICAL SERVICE
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1113 HEALTHWAY DRIVE
SALISBURY, MD
ZIP 21804
Phone: (410) 334-6961
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EASTERN SHORE PSYCHOLOGICAL SERVICE is a mental health (including community mental health center) clinic center in Salisbury, MD. EASTERN SHORE PSYCHOLOGICAL SERVICE NPI is 1548348402. The provider is registered as an organization entity type.

The provider's business location address is:

1113 HEALTHWAY DRIVE
SALISBURY, MD
ZIP 21804
Phone: (410) 334-6961
Fax: (410) 334-6362

The provider's authorized official is Mary Kathyrn Seifert .
The authorized official title is Executive Director Ceo and has the following contact phone number (410) 334-6961.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/11/2017.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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
1	517251	OTHER		UHC MAMSI GROUP #
2	LM49EA	OTHER	MARYLAND	CAREFIRST BCBS GROUP
3	R968	OTHER	DISTRICT OF COLUMBIA	CAREFIRST FEDERAL GROUP
4	742L	MEDICARE PIN	MARYLAND
5	259147000	OTHER	MARYLAND	MAGELLAN GROUP
6	609550001	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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