Spring Oak Psychological Services Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SPRING OAK PSYCHOLOGICAL SERVICES GROUP LLC

Practice address

7801 Lythan PL
Ijamsville, MD 21754-9109

Phone

(301) 938-5436

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Margaret Stratton, PSYDNPI 1396049177

Title

Owner

Phone

(301) 938-5436

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 2

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

• Margaret Stratton, PSYD

  • Clinical Psychologist
  • Gaithersburg, MD
  • NPI 1396049177

  DC

  Medicare reassignment NPD Authorized official
• Roger Kenneth Sandberg, LCPC

  • Professional Counselor
  • Olney, MD
  • NPI 1770801078

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1518623909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 LYTHAN PL",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549109",
            "telephone_number": "301-938-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 LYTHAN PL",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549109",
            "telephone_number": "301-938-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OAK PSYCHOLOGICAL SERVICES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-938-5436",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ijamsville, MD
• Providers in Ijamsville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.