NPIMap

Organization Active NPI

Atlantic Psychological Practice, P.a.

  • Clinical Child & Adolescent Psychologist
  • Salisbury, MD
National Provider Identifier
1821031543
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2756 Issued in MD
Legal business name
ATLANTIC PSYCHOLOGICAL PRACTICE, P.A.
Practice address
106 Milford St.
Suite 104
Salisbury, MD 21804-6966
Phone
(410) 543-8291
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Mark Richardson Todd, PH.D.NPI 1881835023
Title
President
Phone
(410) 543-8291

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 Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2756 MD Primary

Addresses

Primary practice location

106 Milford St.
Suite 104
Salisbury, MD 21804-6966

Mailing address

106 Milford St.
Suite 104
Salisbury, MD 21804-6966
Phone (410) 543-8291

Other identifiers 1

IdentifierTypeStateIssuer
644221800MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1821031543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST.",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046966",
            "telephone_number": "410-543-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST.",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046966",
            "telephone_number": "410-543-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PSYCHOLOGICAL PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-543-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "2756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "644221800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.