NPIMap

Organization Active NPI

Inpsych, LLC

  • Clinical Psychologist
  • Columbia, MD
National Provider Identifier
1811596067
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INPSYCH, LLC
Practice address
6801 Oak Hall LN # 2254
Columbia, MD 21045-9998
Phone
(202) 455-6124
NPI assigned
Oct 20, 2020
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Dr. Matthew Edmond Fitzgerald, PSY.D.NPI 1467833798
Title
Owner
Phone
(202) 455-6145

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
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

6801 Oak Hall LN # 2254
Columbia, MD 21045-9998

Mailing address

6801 Oak Hall LN # 2254
Columbia, MD 21045-9998
Phone (202) 455-6124

National Provider Directory

National Provider Directory

Locations

6801 Oak Hall Ln
Unit 2254
Columbia, MD 21045
Phone (202) 455-6124

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": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1811596067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 OAK HALL LN # 2254",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210459998",
            "telephone_number": "202-455-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 OAK HALL LN # 2254",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210459998",
            "telephone_number": "202-455-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INPSYCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-455-6145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.