Active NPI
Bethel Zemichael
- School Psychologist
- Towson, MD
National Provider Identifier
1497411482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 23715
- Practice address
- 6901 N Charles St Ste C
Towson, MD 21204-3780 - Phone
- (573) 680-2647
- NPI assigned
- Nov 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 23715 | MD | Primary |
Addresses
Primary practice location
6901 N Charles St Ste C
Towson, MD 21204-3780
Mailing address
6901 N Charles St Ste C
Towson, MD 21204-3780
Phone (573) 680-2647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23715 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1497411482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 N CHARLES ST STE C",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043780",
"telephone_number": "573-680-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N CHARLES ST STE C",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043780",
"telephone_number": "573-680-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMICHAEL",
"first_name": "BETHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-13",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "23715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.