Pudds Place

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PUDDS PLACE

Practice address

2413 Reisterstown Rd Apt 1
Baltimore, MD 21217-2056

Phone

(443) 633-3177

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Sykia Edwards, CAC-AD-BAS, LMSW

Title

Clinical Director

Phone

(443) 633-3177

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1619694239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 AUTUMN BRANCH LN APT E",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433514",
            "telephone_number": "443-633-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 REISTERSTOWN RD APT 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172056",
            "telephone_number": "443-633-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUDDS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SYKIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-633-3177",
        "authorized_official_credential": "CAC-AD-BAS, LMSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093103756",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.puddsplace.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2413 Reisterstown Rd Apt 1",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212172056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Psychometric Solutions,LLC
• PTF Services
• Abby Puchaev
• Pudd'S Behavioral Health Services LLC
• Pudd'S Behavioral Health Services LLC
• Amber Pugh, DNP ACCNS-AG
• Asia Pugh
• Heather Noelle Pugh, D.P.T
• Iris Pugh
• Laura Pugh

• Addiction (Substance Use Disorder) Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.