Active NPI
Mary Kathryn Seifert, PHD
- Psychologist
- Salisbury, MD
National Provider Identifier
1164510178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03328
- Practice address
- 2336 Goddard Parkway
Salisbury, MD 21801 - Phone
- (410) 334-6961
- Fax
- (410) 334-6362
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03328 | MD | Primary |
Addresses
Primary practice location
2336 Goddard Parkway
Salisbury, MD 21801
Mailing address
2336 Goddard Parkway
Salisbury, MD 21801
Phone (410) 334-6961
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004 | Other | DC | CAREFIRST FEDERAL PIN |
| 259147000 | Other | MD | MAGELLAN GROUP |
| 54531204 | Other | MD | CAREFIRST BCBS PIN |
| LM49EA | Other | MD | CAREFIRST BCBS GROUP |
| 517251 | Other | UHC MAMSI GROUP NUMBER | |
| 522156095 | Other | MD | OPTIONS HEALTH CARE |
| 609550001 | Medicaid | MD | |
| R968 | Other | DC | CAREFIRST FEDERAL GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Maryland School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Goodwill Ave
Cambridge, MD 21613-2972
Phone (443) 972-4204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03328 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sailwinds Medical, LLC | Current | Accepting new patients | |
| Eastern Shore Psychological Service, LLC | Past | Accepting new patients |
Locations
1000 Goodwill Ave
Cambridge, MD 21613
Phone (443) 972-4204
560 Riverside Dr
#A103A106
Salisbury, MD 21801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cambridge, MD
- NPI 1417660606
-
- Community/Behavioral Health Agency
- Princess Anne, MD
- NPI 1730252537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1164510178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 GODDARD PARKWAY",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 GODDARD PARKWAY",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFERT",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL PIN",
"identifier": "0004",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP",
"identifier": "259147000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PIN",
"identifier": "54531204",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS GROUP",
"identifier": "LM49EA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MAMSI GROUP NUMBER",
"identifier": "517251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIONS HEALTH CARE",
"identifier": "522156095",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL GROUP",
"identifier": "R968",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
- Second Chance Behavioral Health Center LLC
- Second Wind, Inc.
- Seeds for Change LLC
- John Frederick Seidel, D.D.S.
- Robert Stepnen Seif, D.D.S.
- Select Physical Therapy Holdings Inc
- Select Physical Therapy Holdings, Inc.
- Select Physical Therapy Holdings, Inc.
- Sloan Winter Selleh, LCSW-C
- Luette S. Semmes, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.