NPIMap

Organization Active NPI

Women'S Innerfitness & Wellness Center

  • Psychologist
  • Crofton, MD
National Provider Identifier
1225424005
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05442 Issued in MD
Legal business name
WOMEN'S INNERFITNESS & WELLNESS CENTER
Practice address
2110 Priest Bridge Dr
Suite 4
Crofton, MD 21114-2472
Phone
(443) 569-8882
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Dr. Laray Imani Price, PHDNPI 1942384185
Title
Psychologist
Phone
(443) 569-8882

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 05442 MD Primary

Addresses

Primary practice location

2110 Priest Bridge Dr
Suite 4
Crofton, MD 21114-2472

Mailing address

2110 Priest Bridge Dr
Suite 4
Crofton, MD 21114-2472
Phone (443) 569-8882

Other identifiers 1

IdentifierTypeStateIssuer
07944490MedicaidMD

National Provider Directory

National Provider Directory

Locations

2110 Priest Bridge Dr
Ste 4
Crofton, MD 21114
Phone (301) 858-9880

Practitioners & affiliated clinicians

Practitioners 6

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": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1225424005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 PRIEST BRIDGE DR",
            "address_2": "SUITE 4",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142472",
            "telephone_number": "443-569-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PRIEST BRIDGE DR",
            "address_2": "SUITE 4",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142472",
            "telephone_number": "443-569-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S INNERFITNESS & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LARAY",
        "authorized_official_middle_name": "IMANI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-569-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07944490",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.