Psychotherapeutic Treatment Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PSYCHOTHERAPEUTIC TREATMENT SERVICES

Practice address

839 Bestgate Rd
Suite 400a
Annapolis, MD 21401-3472

Phone

(410) 224-1188

Fax

(410) 224-3711

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randall L Cooper, CPA

Title

Chief Financial Officer

Phone

(410) 810-2468

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Psychotherapeutic Services, Inc, Other name

Tax ID family

Psychotherapeutic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Psychotherapeutic Treatment Services

  • Group Psychotherapy Psychologist
  • Annapolis, MD
  • NPI 1376619643
  NPD tax ID
• Psychotherapeutic Treatment Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Arnold, MD
  • NPI 1356942361
  NPD tax ID

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1013050061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HIGH ST",
            "address_2": "SUITE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203914",
            "telephone_number": "410-778-1099",
            "fax_number": "410-778-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 BESTGATE RD",
            "address_2": "SUITE 400A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013472",
            "telephone_number": "410-224-1188",
            "fax_number": "410-224-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-810-2468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335241200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychotherapeutic Services, Inc,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elyse Provencher, L.AC., M.AC.
• Nancy S. Prugh, LCSW-C
• Nancy Pruitt, L.P.N.
• Mary Xenia Psaromatis, D.C.
• Psychotherapeutic Services of Southern Maryland , Inc
• Psychotherapeutic Treatment Services
• Puravida Future Inc.
• Kristine Purcell, BC-DMT, LCPC, PMH-C
• Navneesh Purewal
• Lisa Paula Purkins, PTA

• Mental Illness Community Based Residential Treatment Facility in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Mental Illness Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.