NPIMap

Organization Active NPI

Maximus Psychotherapy

  • Mental Health Counselor
  • Catonsville, MD
National Provider Identifier
1124773759
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAXIMUS PSYCHOTHERAPY
Practice address
6305 Mount Ridge Rd
Catonsville, MD 21228-2321
Phone
(443) 598-6638
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Mr. Roger Douglas Dever II, LCSW-CNPI 1427418029
Title
Owner & Psychotherapist
Phone
(443) 598-6638

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6305 Mount Ridge Rd
Catonsville, MD 21228-2321

Mailing address

3375 Ellicott Center Dr Unit 672
Ellicott City, MD 21041-7512
Phone (443) 598-6638

National Provider Directory

National Provider Directory

Locations

3375 Ellicott Center Dr
Unit 672
Ellicott City, MD 21041

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1124773759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 ELLICOTT CENTER DR UNIT 672",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210417512",
            "telephone_number": "443-598-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 MOUNT RIDGE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282321",
            "telephone_number": "443-598-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "DEVER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-598-6638",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.