NPIMap

Organization Active NPI

Mid-Atlantic Psychological Services

  • Clinical Psychologist
  • College Park, MD
National Provider Identifier
1437595410
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04422 Issued in MD
Legal business name
MID-ATLANTIC PSYCHOLOGICAL SERVICES
Practice address
4700 Berwyn House Rd
College Park, MD 20740-2474
Phone
(240) 297-9857
NPI assigned
May 16, 2013
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-ATLANTIC CHILDREN'S SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Christopher Bishop, PSY.D., LCSW-CNPI 1972624179
Title
Ceo/President
Phone
(240) 297-9857

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04422 MD Primary
Clinical Child & Adolescent Psychologist 103TC2200X 04422 MD
Family Psychologist 103TF0000X 04422 MD
Forensic Psychologist 103TF0200X 04422 MD
Intellectual & Developmental Disabilities Psychologist 103TM1800X 04422 MD
Group Psychotherapy Psychologist 103TP2701X 04422 MD
Clinical Social Worker 1041C0700X 11809 MD
Clinical Social Worker 1041C0700X LC3000754 DC

Addresses

Primary practice location

4700 Berwyn House Rd
College Park, MD 20740-2474

Mailing address

9900 Greenbelt Rd
E-293
Lanham, MD 20706-2255
Phone (240) 297-9857

National Provider Directory

National Provider Directory
Tax ID family
Mid-Atlantic Children's Services Inc2 organizations share this tax ID, including this one
Part of
Mid-Atlantic Children's Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1437595410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 GREENBELT RD",
            "address_2": "E-293",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062255",
            "telephone_number": "240-297-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BERWYN HOUSE RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402474",
            "telephone_number": "240-297-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC CHILDREN'S SERVICES, INC",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "240-297-9857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LCSW-C"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04422",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "04422",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "04422",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MD",
            "license": "04422",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": "04422",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MD",
            "license": "04422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11809",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC3000754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.