Severn Psychological and Education Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1872 Issued in MD

Legal business name

SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC

Practice address

353 Berkshire Dr
Riva, MD 21140-1433

Phone

(410) 298-8223

Fax

(410) 298-8225

NPI assigned

May 12, 2007

Last updated

Feb 2, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Gombatz, PHDNPI 1467668699

Title

Owner

Phone

(410) 269-7789

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Gombatz, PHD

  • Clinical Psychologist
  • Riva, MD
  • NPI 1467668699
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1003021015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BERKSHIRE DR",
            "city": "RIVA",
            "state": "MD",
            "postal_code": "211401433",
            "telephone_number": "410-298-8223",
            "fax_number": "410-298-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BERKSHIRE DR",
            "city": "RIVA",
            "state": "MD",
            "postal_code": "211401433",
            "telephone_number": "410-298-8223",
            "fax_number": "410-298-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "GOMBATZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-269-7789",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "1872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136641600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Louise McMahon, LCSW-C
• Cheryl N Moffatt, LCPC
• Natasha Montgomery, MT-BC
• Project Chesapeake, LLC
• Ludia Sarmast Sarmast, HCHI, CD
• Gracleyn Maris Solarz
• Ida L Walsch
• Bernadette Maria Zorio, APRN, BC

• Psychologist in Riva, MD
• Providers in Riva, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.