NPIMap

Organization Active NPI

Maryland Parent Child Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cockeysville, MD
National Provider Identifier
1720664097
Registry record updated Jul 16, 2024
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
MARYLAND PARENT CHILD CLINIC, LLC
Practice address
12 Galloway Ave Ste 2C
Cockeysville, MD 21030-4901
Phone
(410) 205-4928
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Dr. Renee Smucker, PH.D.NPI 1932695400
Title
Founder/ Psychologist
Phone
(410) 205-4928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12 Galloway Ave Ste 2C
Cockeysville, MD 21030-4901

Mailing address

3 Talbott Ave Ste 100
Timonium, MD 21093-2329
Phone (410) 205-4928

National Provider Directory

National Provider Directory

Locations

12 Galloway Ave
Ste 2C
Cockeysville, MD 21030
Phone (410) 205-4928

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1720664097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TALBOTT AVE STE 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932329",
            "telephone_number": "410-205-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GALLOWAY AVE STE 2C",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304901",
            "telephone_number": "410-205-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PARENT CHILD CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SMUCKER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "FOUNDER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-205-4928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.