City Park Psychological Services & Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2139 Issued in MD

Legal business name

CITY PARK PSYCHOLOGICAL SERVICES & ASSOCIATES, LLC

Practice address

209 W Patrick St
Frederick, MD 21701-5515

Phone

(301) 401-2813

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lou A Lichti, PH.D.

Title

Owner/Psychologist

Phone

(301) 401-2813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1922395847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015515",
            "telephone_number": "301-401-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015515",
            "telephone_number": "301-401-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PARK PSYCHOLOGICAL SERVICES & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "LICHTI",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-401-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2139",
            "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 7, 2012; 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.