Individual provider Active NPI

Theo E. Lemaire, PH.D.

  • Clinical Psychologist
  • Towson, MD
National Provider Identifier
1952481525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2204 Issued in MD
Practice address
110 E Pennsylvania Ave
Towson, MD 21286-5118
Phone
(410) 583-2222
Fax
(410) 583-2377
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2204 MD Primary

Addresses

Primary practice location

110 E Pennsylvania Ave
Towson, MD 21286-5118

Mailing address

10511 Longbranch Rd
Cockeysville, MD 21030-3103
Phone (410) 561-3259

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000643 MD Practitioner - Clinical Psychologist 6103090832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas Tech University Health Science Center School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fishel, Watson, and Lemaire PAGroup PAC ID 0547225237, 5 clinicians

Practice addresses (Care Compare)

110 E Pennsylvania Ave
Towson, MD 21286-5118
Phone (410) 583-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2204MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fishel, Watson, & Lemaire PA Clinical CurrentSince Aug 1, 1994 Accepting new patients
Fishel, Watson and Lemaire, P.a. Clinical PastSince Jan 26, 2020 Accepting new patients

Locations

110 E Pennsylvania Ave
Towson, MD 21286
Phone (410) 583-2222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952481525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 LONGBRANCH RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303103",
            "telephone_number": "410-561-3259",
            "fax_number": "410-561-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E PENNSYLVANIA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865118",
            "telephone_number": "410-583-2222",
            "fax_number": "410-583-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAIRE",
        "first_name": "THEO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.