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SHORE PSYCHIATRIC ASSOCIATES LLC NPI 1780853325


NPI Information

NPI: 1780853325
Provider Name: SHORE PSYCHIATRIC ASSOCIATES, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
8221 TEAL DR
SUITE 406
EASTON, MD
ZIP 21601
Phone: (410) 820-4005
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SHORE PSYCHIATRIC ASSOCIATES, LLC is a prescribing (medical) psychologist in Easton, MD. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SHORE PSYCHIATRIC ASSOCIATES, LLC NPI is 1780853325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8221 TEAL DR
SUITE 406
EASTON, MD
ZIP 21601-227
Phone: (410) 820-4005
Fax: (410) 820-4008

The provider's authorized official is Allan Arthur Anderson .
The authorized official title is Doctor and has the following contact phone number (410) 820-4005.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 7/1/2009.


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
1103TP0016XPsychologistPrescribing (Medical)D0040200MARYLANDYes

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
1359LMEDICARE PINMARYLAND
2260019170OTHERMARYLANDPALMETTO GBA-RAILROAD MEDICARE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.