Organization Active NPI

Heartwood Psychology, LLC

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1477216596
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEARTWOOD PSYCHOLOGY, LLC
Practice address
2 Hamill Rd
Ste 354 West Quadrangle
Baltimore, MD 21210
Phone
(410) 583-8892
Fax
(410) 583-8892
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Rachel Whipple, PSYDNPI 1891028676
Title
Part Owner
Phone
(410) 583-8892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2 Hamill Rd
Ste 354 West Quadrangle
Baltimore, MD 21210

Mailing address

2 Hamill Rd
Ste 354 West Quadrangle
Baltimore, MD 21210
Phone (410) 583-8892

National Provider Directory

National Provider Directory

Locations

2 Hamill Rd
Ste 354
Baltimore, MD 21210
Phone (410) 350-6100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1477216596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "STE 354 WEST QUADRANGLE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-583-8892",
            "fax_number": "410-583-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "STE 354 WEST QUADRANGLE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-583-8892",
            "fax_number": "410-583-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWOOD PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "410-583-8892",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.