NPIMap

Organization Active NPI

Arundel Psychological Associates LLC

  • Counseling Psychologist
  • Millersville, MD
National Provider Identifier
1114673654
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
ARUNDEL PSYCHOLOGICAL ASSOCIATES LLC
Practice address
1110 Benfield Blvd Ste J
Millersville, MD 21108-2645
Phone
(410) 987-2031
NPI assigned
Feb 23, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Lisa Marie Grant, MS NCSPNPI 1750087300
Title
Owner/Manager
Phone
(443) 904-4429

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Cognitive & Behavioral Psychologist 103TB0200X
Counseling Psychologist 103TC1900X Primary
Clinical Child & Adolescent Psychologist 103TC2200X
School Psychologist 103TS0200X

Addresses

Primary practice location

1110 Benfield Blvd Ste J
Millersville, MD 21108-2645

Mailing address

2 Kagee CT
Severna Park, MD 21146-4829
Phone (443) 904-4429

Other names 1

  • Arundel Psychological Associates Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1114673654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KAGEE CT",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464829",
            "telephone_number": "443-904-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD STE J",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082645",
            "telephone_number": "410-987-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "443-904-4429",
        "authorized_official_credential": "MS NCSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arundel Psychological Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.