New Genesis Consulting Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

04935 Issued in MD

Legal business name

NEW GENESIS CONSULTING SERVICES

Practice address

8227 Cloverleaf Dr Ste 303
Suite G
Millersville, MD 21108-1536

Phone

(410) 987-1036

Fax

(888) 224-0984

NPI assigned

Jan 15, 2014

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syretta R. James, PH.D.

Title

Owner Operator/Clinical Director

Phone

(410) 987-1036

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1457773160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W PENNSYLVANIA AVE",
            "address_2": "SUITE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143669",
            "telephone_number": "410-838-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 CLOVERLEAF DR STE 303",
            "address_2": "SUITE G",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081536",
            "telephone_number": "410-987-1036",
            "fax_number": "888-224-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GENESIS CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SYRETTA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER OPERATOR/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-987-1036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04935",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "07685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331149000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.