Children'S Medical Group, P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHILDREN'S MEDICAL GROUP, P.A.

Practice address

500 Greene St
Cumberland, MD 21502-2799

Phone

(301) 724-7616

Fax

(301) 724-4811

NPI assigned

Sep 4, 2020

Organization subpart

Yes

Parent organization

CHILDREN'S MEDICAL GROUP, P.A.As reported in NPPES

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

Authorized official

Name

Cherie L Wilson

Title

Office Manager

Phone

(301) 724-7616

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Children'S Medical Grou

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Children'S Medical Group, P.a.

  • Specialist
  • Cumberland, MD
  • NPI 1528165750
  NPPES parent name

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1669086880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022755",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022799",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL GROUP, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S MEDICAL GROUP, P.A.",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-724-7616"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910551400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Chapman, RPH
• Thomas E Chappell, MD
• Madison Walker Chesnutt, LMSW
• Dianna Childers, LPN
• Children'S Medical Group, P.a.
• Marcy Liane Childs, LCPC
• Roy D Chisholm III, M.D.
• Ik Rae Cho, M.D.
• Ashlyn Chorpenning
• Florette T Chu, MD

• Clinical Psychologist in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.