NPIMap

Organization Active NPI

Arundel Mental Health Professionals LLC

Doing business as LifeStance Health

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1649906496
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ARUNDEL MENTAL HEALTH PROFESSIONALS LLC
Doing business as
LifeStance Health
Practice address
810 Bestgate Rd Ste 325
Annapolis, MD 21401-3648
Phone
(443) 906-3506
Fax
(443) 782-2342
NPI assigned
Jul 25, 2022
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Ryan Pardo
Title
Chief Legal Officer
Phone
(206) 399-1493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

810 Bestgate Rd Ste 325
Annapolis, MD 21401-3648

Mailing address

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410
Phone (410) 757-2077

Other names 1

  • LifeStance Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arundel Mental Health Professionals LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1649906496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 RITCHIE HWY STE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122410",
            "telephone_number": "410-757-2077",
            "fax_number": "410-757-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 325",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "443-906-3506",
            "fax_number": "443-782-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL MENTAL HEALTH PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.