NPIMap

Organization Active NPI

Stony Run Psychology & Wellness, LLC

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1023642675
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
STONY RUN PSYCHOLOGY & WELLNESS, LLC
Practice address
711 W 40TH St # 153-363
Baltimore, MD 21211-2120
Phone
(410) 538-2814
NPI assigned
Feb 22, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Rachel LafleurNPI 1982087003
Title
Owner
Phone
(410) 538-2814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

711 W 40TH St # 153-363
Baltimore, MD 21211-2120

Mailing address

1415 Redfern Ave
Baltimore, MD 21211-1530
Phone (404) 271-7648

National Provider Directory

National Provider Directory

Locations

711 W 40th St
#153363
Baltimore, MD 21211
Phone (410) 538-2814

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1023642675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 REDFERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111530",
            "telephone_number": "404-271-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST # 153-363",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112120",
            "telephone_number": "410-538-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY RUN PSYCHOLOGY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-538-2814"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.