Insight Therapeutic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC2609 Issued in MD

Legal business name

INSIGHT THERAPEUTIC

Practice address

1995 Yorkshire LN
Waldorf, MD 20603-3885

Phone

(301) 646-9666

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sydney Nicole Bryson, LCPC

Title

Licensed Counselor

Phone

(301) 646-9666

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1346782075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 YORKSHIRE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033885",
            "telephone_number": "301-646-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 YORKSHIRE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033885",
            "telephone_number": "301-646-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "301-646-9666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC2609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847609",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.