NPIMap

Organization Active NPI

Psychotherapeutic Services of Southern Maryland

  • Case Management Agency
  • Leonardtown, MD
National Provider Identifier
1871744946
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND
Practice address
41900 Fenwick St
Suite 5
Leonardtown, MD 20650-3813
Phone
(301) 475-9315
Fax
(301) 475-9317
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mrs. Angelia Jones
Title
Director of Case Management Program
Phone
(410) 571-6645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MD Primary

Addresses

Primary practice location

41900 Fenwick St
Suite 5
Leonardtown, MD 20650-3813

Mailing address

41900 Fenwick St
Suite 5
Leonardtown, MD 20650
Phone (301) 475-9315

National Provider Directory

National Provider Directory
Tax ID family
Psychotherapeutic Services of Southern Maryland5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41900 Fenwick St
Ste 5
Leonardtown, MD 20650
Phone (301) 475-9315

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1871744946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST",
            "address_2": "SUITE 5",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-9315",
            "fax_number": "301-475-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST",
            "address_2": "SUITE 5",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503813",
            "telephone_number": "301-475-9315",
            "fax_number": "301-475-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "DIRECTOR OF CASE MANAGEMENT PROGRAM",
        "authorized_official_telephone_number": "410-571-6645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.