Pedspsych LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

05155 Issued in MD

Legal business name

PEDSPSYCH LLC

Practice address

877 Baltimore Annapolis Blvd Ste 303
Severna Park, MD 21146-4700

Phone

(443) 906-1132

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lindsay Clendaniel, PHDNPI 1487882163

Title

Director/Psycholgist

Phone

(443) 906-1132

Specialties & licenses 1

Addresses

Other names 1

• Thinking Tree Psychology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay D Clendaniel, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Severna Park, MD
  • NPI 1487882163
  NPD (past) Authorized official

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1013466572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210120843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 303",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464700",
            "telephone_number": "443-906-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDSPSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "CLENDANIEL",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLGIST",
        "authorized_official_telephone_number": "443-906-1132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "05155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thinking Tree Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Child & Adolescent Psychologist in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Clinical Child & Adolescent Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.