Active NPI
Behavioral Medicine Center of Annapolis, LLC
- Psychologist
- Aiken, SC
National Provider Identifier
1649326356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.
-
- Cognitive & Behavioral Psychologist
- Baltimore, MD
- NPI 1588620876
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.