Chesapeake Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

05406 Issued in MD

Legal business name

CHESAPEAKE NEUROPSYCHOLOGY, LLC

Practice address

645 Baltimore Annapolis Blvd Ste 220
Severna Park, MD 21146-3934

Phone

(410) 975-5058

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Carrington R Wendell, PHDNPI 1295001014

Title

Owner

Phone

(410) 975-5058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrington R Wendell, PHD

  • Clinical Neuropsychologist
  • Severna Park, MD
  • NPI 1295001014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1699294884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 220",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463934",
            "telephone_number": "410-975-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 220",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463934",
            "telephone_number": "410-975-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "CARRINGTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-975-5058",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "05406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Chadwick, LCSW-C
• Chazbro Inc (Zimmermann's Shoes)
• Chesapeake Bay Aquatic & Physical Therapy Inc
• Chesapeake Elder Call, LLC
• Chesapeake Hearing Centers Inc
• Chesapeake Physical Aquatic Therapy Inc
• Cheskis, Hooper, Schatz, Russell & Assc., LLC
• Richard Yale Cheskis, DDS
• Childrens Speech and Language Center
• Alyssa Marie Whitman Christiano

• Clinical Neuropsychologist in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Clinical Neuropsychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.