Organization Active NPI

Hestick Psychological Services, P.a.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1104832674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02130 Issued in MD
Legal business name
HESTICK PSYCHOLOGICAL SERVICES, P.A.
Practice address
7501 Liberty Rd Ste G
Baltimore, MD 21207-3870
Phone
(410) 944-4400
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henrietta Hestick, PH.D.
Title
President
Phone
(410) 944-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 02130 MD Primary

Addresses

Primary practice location

7501 Liberty Rd Ste G
Baltimore, MD 21207-3870

Mailing address

7501 Liberty Rd Ste G
Baltimore, MD 21207-3870
Phone (410) 944-4400

Other identifiers 2

IdentifierTypeStateIssuer
214517OtherMDALLIANCE/VALUE OPTIONS
1G269OtherMDCAREFIRST/ BLUE CROSS BLU

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104832674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LIBERTY RD STE G",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212073870",
            "telephone_number": "410-944-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LIBERTY RD STE G",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212073870",
            "telephone_number": "410-944-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESTICK PSYCHOLOGICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HESTICK",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-944-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/VALUE OPTIONS",
            "identifier": "214517",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST/ BLUE CROSS BLU",
            "identifier": "1G269",
            "state": "MD"
        }
    ],
    "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 22, 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.