NPIMap

Organization Active NPI

Rise for Autism, Inc.

  • Clinical Psychologist
  • Glen Burnie, MD
National Provider Identifier
1215704564
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RISE FOR AUTISM, INC.
Practice address
510 McCormick Dr Ste U-V
Glen Burnie, MD 21061-3283
Phone
(410) 487-6011
NPI assigned
Dec 7, 2023
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Cheryl Antlitz
Title
Director
Phone
(410) 487-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

510 McCormick Dr Ste U-V
Glen Burnie, MD 21061-3283

Mailing address

510 McCormick Dr Ste U-V
Glen Burnie, MD 21061-3283
Phone (410) 487-6011

National Provider Directory

National Provider Directory
Tax ID family
Rise for Autism Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

510 McCormick Dr
Ste Uv
Glen Burnie, MD 21061
Phone (410) 487-6011

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1215704564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MCCORMICK DR STE U-V",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613283",
            "telephone_number": "410-487-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MCCORMICK DR STE U-V",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613283",
            "telephone_number": "410-487-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE FOR AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ANTLITZ",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-487-6011"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.