Organization Active NPI

Chesapeake Pediatric & Adolescent Associates, PA

  • Professional Counselor
  • Salisbury, MD
National Provider Identifier
1922987858
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
Practice address
106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone
(410) 543-1616
Fax
(410) 543-8497
NPI assigned
Aug 27, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Mrs. Kim Watson
Title
Operations Coordinator
Phone
(410) 543-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

106 Milford St Ste 201
Salisbury, MD 21804-6959

Mailing address

106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone (410) 543-1616

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Pediatric Adolescent Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1922987858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "410-543-1616",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.