New Hope Foundation for the Underserved, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEW HOPE FOUNDATION FOR THE UNDERSERVED, INC.

Practice address

10 N Jefferson St
Suite 403
Frederick, MD 21701-3500

Phone

(301) 696-8880

NPI assigned

Sep 30, 2008

Last updated

Sep 30, 2008By 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

R. Allen Lish, PSY.D.

Title

Trustee

Phone

(301) 620-8700

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1477703106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST",
            "address_2": "SUITE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013500",
            "telephone_number": "301-696-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST",
            "address_2": "SUITE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013500",
            "telephone_number": "301-696-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE FOUNDATION FOR THE UNDERSERVED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "LISH",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "301-620-8700",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.