Organization Active NPI

Harford Psychological Services, P.a.

  • Clinical Psychologist
  • Bel Air, MD
National Provider Identifier
1427103159
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HARFORD PSYCHOLOGICAL SERVICES, P.A.
Practice address
543 Country Ridge Circle
Bel Air, MD 21015
Phone
(410) 569-0007
Fax
(410) 569-3738
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Walter Earl Polk Jr., PH.D.
Title
President/Owner
Phone
(410) 569-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

543 Country Ridge Circle
Bel Air, MD 21015

Mailing address

Harford Psychological Services, P.a.
2945 Emmorton Road, PO Box 322
Abingdon, MD 21009
Phone (410) 569-0007

National Provider Directory

National Provider Directory

Locations

2945 Emmorton Rd
Unit 322
Abingdon, MD 21009

2021A Emmorton Rd
Ste 120
Bel Air, MD 21015
Phone (410) 569-8840

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1427103159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARFORD PSYCHOLOGICAL SERVICES, P.A.",
            "address_2": "2945 EMMORTON ROAD, PO BOX 322",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "410-569-0007",
            "fax_number": "410-569-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 COUNTRY RIDGE CIRCLE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "410-569-0007",
            "fax_number": "410-569-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARFORD PSYCHOLOGICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-569-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-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 Mar 1, 2022; 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.