NPIMap

Organization Active NPI

Clinical Solutions

  • Clinical Psychologist
  • Burtonsville, MD
National Provider Identifier
1811436728
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
09929 Issued in MD
Legal business name
CLINICAL SOLUTIONS
Practice address
4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127
Phone
(301) 421-4241
Fax
(888) 317-2075
NPI assigned
Feb 13, 2017
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Ms. Karen Edmunds, MSW
Title
Executive Director
Phone
(410) 336-0836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 09929 MD Primary

Addresses

Primary practice location

4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127

Mailing address

4000 Blackburn LN Ste 200
Burtonsville, MD 20866-1104
Phone (301) 421-4241

Other practice location 1

3909 National Dr Ste 160
Burtonsville, MD 20866-1118
Phone (410) 336-0836

National Provider Directory

National Provider Directory
Tax ID family
Clinical Solutions Incorporated8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Blackburn Ln
Ste 200
Burtonsville, MD 20866
Phone (301) 421-4241

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1811436728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 200",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661104",
            "telephone_number": "301-421-4241",
            "fax_number": "888-317-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 150",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666127",
            "telephone_number": "301-421-4241",
            "fax_number": "888-317-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 National Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208661118",
            "country_code": "US",
            "telephone_number": "410-336-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-336-0836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "09929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.