NPIMap

Organization Active NPI

Severna Park Child Psychology

  • Adolescent and Children Mental Health Clinic/Center
  • Severna Park, MD
National Provider Identifier
1376920504
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
04803 Issued in MD
Legal business name
SEVERNA PARK CHILD PSYCHOLOGY
Practice address
485 Ritchie Hwy
Suite 203D
Severna Park, MD 21146-2918
Phone
(443) 440-2897
NPI assigned
Apr 27, 2015
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Dr. Jennifer Thorpe, PH.D.NPI 1073737698
Title
Psychologist
Phone
(443) 440-2897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 04803 MD Primary

Addresses

Primary practice location

485 Ritchie Hwy
Suite 203D
Severna Park, MD 21146-2918

Mailing address

485 Ritchie Hwy
Suite 203D
Severna Park, MD 21146-2918
Phone (443) 440-2897

National Provider Directory

National Provider Directory

Locations

485 Ritchie Hwy
Ste 203D
Severna Park, MD 21146
Phone (443) 440-2897

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1376920504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 RITCHIE HWY",
            "address_2": "SUITE 203D",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462918",
            "telephone_number": "443-440-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 RITCHIE HWY",
            "address_2": "SUITE 203D",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462918",
            "telephone_number": "443-440-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERNA PARK CHILD PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-440-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "04803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.