Organization Active NPI

Courtland Psychological Services, P.a.

  • Psychologist
  • Bel Air, MD
National Provider Identifier
1861689275
Registry record updated Sep 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2823 Issued in MD
Legal business name
COURTLAND PSYCHOLOGICAL SERVICES, P.A.
Practice address
25 W Courtland St
Suite 202
Bel Air, MD 21014-3749
Phone
(410) 838-5270
NPI assigned
Sep 29, 2007
Last updated
Sep 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2007

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

Authorized official

Name
Dr. Colette C Horn, PH.D.NPI 1225225634
Title
Psychologist/Owner
Phone
(410) 838-5270

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
Psychologist 103T00000X 2823 MD Primary

Addresses

Primary practice location

25 W Courtland St
Suite 202
Bel Air, MD 21014-3749

Mailing address

25 W Courtland St
Suite 202
Bel Air, MD 21014-3749
Phone (410) 838-5270

Other identifiers 1

IdentifierTypeStateIssuer
288AOtherMDBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

25 W Courtland St
Ste 202
Bel Air, MD 21014
Phone (410) 838-5270

Practitioners & affiliated clinicians

Practitioners 2

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": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191024000000",
    "number": "1861689275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W COURTLAND ST",
            "address_2": "SUITE 202",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143749",
            "telephone_number": "410-838-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W COURTLAND ST",
            "address_2": "SUITE 202",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143749",
            "telephone_number": "410-838-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLAND PSYCHOLOGICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "410-838-5270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "288A",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; 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.