Organization
MEDPSYCH HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDEEP SINGH (COO)
(240) 464-8000
Entity
Organization
Contact information
Practice address
7101 GUILFORD DR STE 100, FREDERICK, MD 21704-5198
(240) 464-8000
Mailing address
7101 GUILFORD DR STE 100, FREDERICK, MD 21704-5198
(240) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171485
MEDICARE PTAN
—
Enumeration date
03/27/2014
Last updated
03/27/2014
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