NPIMap

Organization Active NPI

Arundel Mental Health Professionals LLC

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1083340830
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ARUNDEL MENTAL HEALTH PROFESSIONALS LLC
Practice address
2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756
Phone
(410) 757-2077
Fax
(410) 558-6858
NPI assigned
Jul 25, 2022
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Ryan Pardo
Title
Authorized Official
Phone
(206) 399-1493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756

Mailing address

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Tax ID family
Arundel Mental Health Professionals LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1083340830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 RITCHIE HWY STE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122410",
            "telephone_number": "410-757-2077",
            "fax_number": "410-757-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 QUARRY LAKE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093756",
            "telephone_number": "410-757-2077",
            "fax_number": "410-558-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL MENTAL HEALTH PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "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 Jun 28, 2023; 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.