Active NPI
Middleton Psychology Services, LLC
- Clinical Psychologist
- Frederick, MD
National Provider Identifier
1134579626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MIDDLETON PSYCHOLOGY SERVICES, LLC
- Practice address
- 186 Thomas Johnson Dr Ste 204
Frederick, MD 21702-4478 - Phone
- (301) 360-5859
- NPI assigned
- Jun 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl Middleton, PH.D.
- Title
- Chief Executive Officer
- Phone
- (301) 360-5859
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
186 Thomas Johnson Dr Ste 204
Frederick, MD 21702-4478
Mailing address
186 Thomas Johnson Drive
Suite 204
Frederick, MD 21702
Phone (301) 360-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
186 Thomas Johnson Dr
Ste 204
Frederick, MD 21702
Phone (240) 210-9003
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Frederick, MD
- NPI 1255436671
-
- Clinical Psychologist
- Woodstock, MD
- NPI 1811586316
-
- Clinical Psychologist
- Frederick, MD
- NPI 1780994004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1134579626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 THOMAS JOHNSON DRIVE",
"address_2": "SUITE 204",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21702",
"telephone_number": "301-360-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 THOMAS JOHNSON DR STE 204",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024478",
"telephone_number": "301-360-5859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLETON PSYCHOLOGY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "301-360-5859",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.