Chesapeake Psychology, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHESAPEAKE PSYCHOLOGY, INC

Practice address

3905 National Dr Ste 230
Burtonsville, MD 20866-6101

Phone

(240) 650-0779

Fax

(443) 583-3872

NPI assigned

Aug 19, 2019

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Geeta Sarphare, PH.D.NPI 1104945070

Title

Clinical Director

Phone

(240) 650-0779

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 6

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.

• Geeta S Sarphare, PHD

  • Clinical Child & Adolescent Psychologist
  • Burtonsville, MD
  • NPI 1104945070

  Behavior Analyst

  NPD Authorized official
• Joseph Mugamba, M.S

  • Intellectual & Developmental Disabilities Psychologist
  • Burtonsville, MD
  • NPI 1508454018
  NPD
• Jennifer Schwartz-Mitchell, PHD

  • Psychologist
  • Burtonsville, MD
  • NPI 1225057383
  NPD
• Leslie Anne Wintz, M.S.

  • Clinical Psychologist
  • Burtonsville, MD
  • NPI 1972192839
  NPD
• David Tomas Cernikovsky, PSY.D.

  • Student in an Organized Health Care Education/Training Program
  • Columbia, MD
  • NPI 1922405968
  NPD (past)
• Fitzroy A. Dwyer, MA

  • Mental Health Counselor
  • Laurel, MD
  • NPI 1093354474
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1760039333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 230",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666101",
            "telephone_number": "240-650-0779",
            "fax_number": "443-583-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 230",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666101",
            "telephone_number": "240-650-0779",
            "fax_number": "443-583-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 National Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208666120",
            "country_code": "US",
            "telephone_number": "240-650-0779",
            "fax_number": "443-583-3872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESAPEAKE PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "SARPHARE",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-650-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "geeta.sarphare@tsinc-md.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3905 National Dr Ste 360",
            "city": "Burtonsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208666120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.