Dr. Wadeson Psychiatric Center, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0011754 Issued in MD

Legal business name

DR. WADESON PSYCHIATRIC CENTER, P.C.

Practice address

9135 Piscataway Rd
Suite 235
Clinton, MD 20735-2549

Phone

(301) 868-8291

Fax

(301) 868-9008

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ralph W. Wadeson Jr., M.D.

Title

Psychiatrist- Owner

Phone

(301) 868-8291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851336945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD",
            "address_2": "SUITE 235",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352549",
            "telephone_number": "301-868-8291",
            "fax_number": "301-868-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD",
            "address_2": "SUITE 235",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352549",
            "telephone_number": "301-868-8291",
            "fax_number": "301-868-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WADESON PSYCHIATRIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADESON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PSYCHIATRIST- OWNER",
        "authorized_official_telephone_number": "301-868-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0011754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.