NPIMap

Organization Active NPI

Lifelong Behavioral Care, Inc.

  • Clinical Psychologist
  • Bel Air, MD
National Provider Identifier
1386660413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFELONG BEHAVIORAL CARE, INC.
Practice address
304 Canterbury Rd
Suite F
Bel Air, MD 21014-4218
Phone
(410) 599-7400
Fax
(410) 671-4708
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Leonard Francis Stielper III, MBA
Title
President
Phone
(410) 599-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

304 Canterbury Rd
Suite F
Bel Air, MD 21014-4218

Mailing address

304 Canterbury Rd
Suite F
Bel Air, MD 21014-4218
Phone (410) 599-7400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386660413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CANTERBURY RD",
            "address_2": "SUITE F",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144218",
            "telephone_number": "410-599-7400",
            "fax_number": "410-671-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CANTERBURY RD",
            "address_2": "SUITE F",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144218",
            "telephone_number": "410-599-7400",
            "fax_number": "410-671-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG BEHAVIORAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STIELPER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-599-7400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.