Organization Active NPI

Arundel Mental Health Professionals LLC

  • Clinical Neuropsychologist
  • Arnold, MD
National Provider Identifier
1649907221
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
ARUNDEL MENTAL HEALTH PROFESSIONALS LLC
Practice address
1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410
Phone
(425) 908-0237
Fax
(410) 757-5184
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Ryan Pardo
Title
Authorized Official
Phone
(206) 399-1493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410

Mailing address

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410
Phone (425) 908-0237

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1649907221",
    "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": "425-908-0237",
            "fax_number": "410-757-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 RITCHIE HWY STE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122410",
            "telephone_number": "425-908-0237",
            "fax_number": "410-757-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL MENTAL HEALTH PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.