Edward P Dworkin PH D & Anita L Dworkin PH D P a

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EDWARD P DWORKIN PH D & ANITA L DWORKIN PH D P A

Doing business as

Maryland Psychological Services

Practice address

10326 Sixpence Cir
Columbia, MD 21044-3807

Phone

(410) 997-3961

Fax

(410) 997-3999

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anita Dworkin, PH.D.

Title

Partner

Phone

(410) 997-3961

Specialties & licenses 1

Addresses

Other names 1

• Maryland Psychological Services Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1558412247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10326 SIXPENCE CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443807",
            "telephone_number": "410-997-3961",
            "fax_number": "410-997-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10326 SIXPENCE CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443807",
            "telephone_number": "410-997-3961",
            "fax_number": "410-997-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD P DWORKIN PH D & ANITA L DWORKIN PH D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "DWORKIN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-997-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gia Edge
• Nicholas Edler
• Opal Edmiston
• Antanique Revesha Edmonds Buckley, LICSW, LCSW
• Jessica Tyler Edmonds
• Amara Edwards
• Denise Edwards, PT
• Devon Anthony Edwards
• Jennifer Ellen Edwards, PH.D., MA, NCSP
• Kellie Michael Edwards

• Clinical Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.