Organization Active NPI

School Support Services LLC

  • School Psychologist
  • Bethesda, MD
National Provider Identifier
1710171814
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
SCHOOL SUPPORT SERVICES LLC
Practice address
4701 Sangamore Rd Ste S135
Bethesda, MD 20816-2562
Phone
(301) 656-5200
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Terry Edelstein
Title
Director/Owner
Phone
(301) 656-5200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X
School PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

4701 Sangamore Rd Ste S135
Bethesda, MD 20816-2562

Mailing address

4701 Sangamore Rd Ste S135
Bethesda, MD 20816-2562
Phone (301) 656-5200

National Provider Directory

National Provider Directory

Locations

4701 Sangamore Rd
Ste S135
Bethesda, MD 20816
Phone (301) 656-5200

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1710171814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S135",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162562",
            "telephone_number": "301-656-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S135",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162562",
            "telephone_number": "301-656-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "301-656-5200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.