Joseph Martin Eisenberg, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

00988 Issued in MD

Practice address

1402 York Rd
Suite 207
Lutherville, MD 21093-6024

Phone

(410) 321-9101

Fax

(410) 823-6204

NPI assigned

May 16, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1215989728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 YORK RD",
            "address_2": "SUITE 207",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936024",
            "telephone_number": "410-321-9101",
            "fax_number": "410-823-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 YORK RD",
            "address_2": "SUITE 207",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936024",
            "telephone_number": "410-321-9101",
            "fax_number": "410-823-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "00988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Counseling Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.