Active NPI
Beth S. Surbeck, PH.D.
- Psychologist
- Towson, MD
National Provider Identifier
1871711275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03884
- Practice address
- 200 E Joppa Rd
Suite 108
Towson, MD 21286-3150 - Phone
- (410) 583-9253
- Fax
- (410) 583-9297
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03884 | MD | Primary |
Addresses
Primary practice location
200 E Joppa Rd
Suite 108
Towson, MD 21286-3150
Mailing address
20 Rolling Green CT
Lutherville, MD 21093-3909
Phone (410) 828-5332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6525 N Charles St
Suite 224
Towson, MD 21204-6834
Phone (410) 938-8449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety and Stress Disorders Institute of Maryland | Current | Accepting new patients |
Locations
6525 N Charles St
Ste 224
Towson, MD 21204
Phone (410) 938-8449
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Towson, MD
- NPI 1154422731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871711275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ROLLING GREEN CT",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210933909",
"telephone_number": "410-828-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E JOPPA RD",
"address_2": "SUITE 108",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863150",
"telephone_number": "410-583-9253",
"fax_number": "410-583-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURBECK",
"first_name": "BETH",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.