Organization Active NPI

Clinical Support Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Easton, MD
National Provider Identifier
1659193480
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLINICAL SUPPORT SERVICES, LLC
Practice address
501 Dutchmans LN
Easton, MD 21601-3342
Phone
(443) 818-0135
NPI assigned
Oct 31, 2024
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Dr. Laurie Pumphrey St Clair
Title
Director
Phone
(443) 677-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

501 Dutchmans LN
Easton, MD 21601-3342

Mailing address

1543 Governor Bridge Rd
Davidsonville, MD 21035-1514
Phone (443) 677-0071

Other practice location 1

1543 Governor Bridge Rd
Davidsonville, MD 21035-1514
Phone (443) 677-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627001151 MD Part B Supplier - Clinic/Group Practice 8426561036 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, MD; Davidsonville, MD

National Provider Directory

National Provider Directory
Tax ID family
Clinical Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1659193480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 GOVERNOR BRIDGE RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351514",
            "telephone_number": "443-677-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013342",
            "telephone_number": "443-818-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Governor Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Davidsonville",
            "state": "MD",
            "postal_code": "210351514",
            "country_code": "US",
            "telephone_number": "443-677-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY ST CLAIR",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-677-0071",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.