Susana I Posada Montalvo, LPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

A01052 Issued in MD

Practice address

2110 Priest Bridge Dr
Crofton, MD 21114-2472

Phone

(443) 937-7089

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susana Posada Montalvo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mirror Mental Health

  • Counseling Psychologist
  • Crofton, MD
  • NPI 1093289985

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1437982121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 TAPESTRY CIR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662065",
            "telephone_number": "240-502-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PRIEST BRIDGE DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142472",
            "telephone_number": "443-937-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSADA MONTALVO",
        "first_name": "SUSANA",
        "middle_name": "I",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A01052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "POSADA MONTALVO",
            "credential": "LPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Priscilla Philip, RPA-C
• Rao S Piratla, PHARMD
• Karen V Plunkett-Reid, M.D.
• Monica Isabel Polanco
• Clarence Ray Porchia
• Potomac Podiatry PLLC
• Hope Lopresti Poulakos, AGNP
• Ryan Alyce Powell, FNP-BC
• Tamela Pratt, DNP, PMHNP-BC
• Prii SL Crofton Opco, LLC (Brightview Crofton)

• Clinical Psychologist in Crofton, MD
• Providers in Crofton, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.