MARYLAND PSYCHOLOGICAL AND MANAGEMENT SERVICES CENTER LLC NPI 1891033916

NPI Information

NPI: 1891033916
Provider Name: MARYLAND PSYCHOLOGICAL AND MANAGEMENT SERVICES CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
10 W MADISON ST # 11
BALTIMORE, MD
ZIP 21201
Phone: (443) 438-7863
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MARYLAND PSYCHOLOGICAL AND MANAGEMENT SERVICES CENTER, LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. MARYLAND PSYCHOLOGICAL AND MANAGEMENT SERVICES CENTER, LLC NPI is 1891033916. The provider is registered as an organization entity type.

The provider's business location address is:

10 W MADISON ST # 11
BALTIMORE, MD
ZIP 21201-239
Phone: (443) 438-7863
Fax: (443) 957-9485

The provider's authorized official is Durwood Whitten .
The authorized official title is Sole Proprietor and has the following contact phone number (443) 438-7863.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 1/24/2013.

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)	04983	MARYLAND	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	052304600	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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