Organization Active NPI

Reach Out Therapy LLC

  • Psychologist
  • Olney, MD
National Provider Identifier
1235664152
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05540 Issued in MD
Legal business name
REACH OUT THERAPY LLC
Practice address
3003 Gatehouse CT
Olney, MD 20832-3024
Phone
(510) 719-0697
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Howard Crumpton
Title
Founder and Owner / Psychologist
Phone
(510) 719-0697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 05540 MD Primary

Addresses

Primary practice location

3003 Gatehouse CT
Olney, MD 20832-3024

Mailing address

3003 Gatehouse CT
Olney, MD 20832-3024
Phone (510) 719-0697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1235664152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 GATEHOUSE CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323024",
            "telephone_number": "510-719-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 GATEHOUSE CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323024",
            "telephone_number": "510-719-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH OUT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "CRUMPTON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "FOUNDER AND OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-719-0697",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.