Amphora Psychotherapy, LLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AMPHORA PSYCHOTHERAPY, LLC.

Practice address

5000 Thayer Ctr # C
Oakland, MD 21550-1139

Phone

(202) 596-6950

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Selen Saydam, LCPCNPI 1215593744

Title

Owner/Operator

Phone

(202) 596-6950

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selen M Saydam, MS, LCPC

  • Mental Health Counselor
  • Bethesda, MD
  • NPI 1215593744
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1376377663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PLATEAU PL UNIT S",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703710",
            "telephone_number": "410-370-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR # C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "202-596-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPHORA PSYCHOTHERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "SAYDAM",
        "authorized_official_first_name": "SELEN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "202-596-6950",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Oakland, MD
• Providers in Oakland, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.