Organization Active NPI

Behavioral Medicine Center of Annapolis, LLC

  • Psychologist
  • Aiken, SC
National Provider Identifier
1649326356
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BEHAVIORAL MEDICINE CENTER OF ANNAPOLIS, LLC
Practice address
781 Anderson Mill Rd
Aiken, SC 29803-1838
Phone
(410) 757-1005
Fax
(410) 757-3788
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Richard Michael Podolin, PH D
Title
Psychologist
Phone
(410) 757-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

781 Anderson Mill Rd
Aiken, SC 29803-1838

Mailing address

1290 Bay Dale Dr
PMB 150
Arnold, MD 21012-2325
Phone (410) 757-1005

National Provider Directory

National Provider Directory

Locations

1290 Bay Dale Dr
Arnold, MD 21012
Phone (410) 873-7326

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1649326356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BAY DALE DR",
            "address_2": "PMB 150",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122325",
            "telephone_number": "410-757-1005",
            "fax_number": "410-757-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 ANDERSON MILL RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298031838",
            "telephone_number": "410-757-1005",
            "fax_number": "410-757-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE CENTER OF ANNAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "PODOLIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-757-1005",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.