Shore Psychology, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SHORE PSYCHOLOGY, LLC

Practice address

112 Saint Claire PL Ste 202
Stevensville, MD 21666-2193

Phone

(443) 249-3162

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Laurie Reider Lewis, PSYD

Title

Owner/Director

Phone

(443) 249-3162

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1407493828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SAINT CLAIRE PL STE 202",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662193",
            "telephone_number": "443-249-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SAINT CLAIRE PL STE 202",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662193",
            "telephone_number": "443-249-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "REIDER",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "443-249-3162",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Sidun
• Lindsey Catherine Siegman Harbin, LMSW
• Gregory William Smith, ATC
• Catherine Marie Smithmyer, PH.D.
• Donna Snyder, BT

• Psychologist in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.