SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC NPI 1003021015

Psychologist in Riva, MD

NPI 1003021015 Organization Psychologist

About SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC

Severn Psychological And Education Services Inc is a provider established in Riva, Maryland specializing in psychologist. The NPI number of Severn Psychological And Education Services Inc is 1003021015 and was assigned on May 2007. The practitioner's primary taxonomy code is 103T00000X with license number 1872 (MD). The provider is registered as an organization and their NPI record was last updated 12 years ago. Severn Psychological And Education Services Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael Gombatz Phd (Owner)

A psychologist like Severn Psychological And Education Services Inc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

NPI

1003021015

Provider NameSEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC
Provider Location Address353 BERKSHIRE DR RIVA, MD 21140
Provider Mailing Address353 BERKSHIRE DR RIVA, MD 21140
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-12-2007
Last Update Date02-02-2010


Primary Taxonomy

Taxonomy Code103T00000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
License No.1872
License StateMD
Taxonomy DescriptionA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Business Address

SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC
353 BERKSHIRE DR
RIVA, MD
ZIP 21140
Phone: (410) 298-8223
Fax: (410) 298-8225

Get Directions


Mailing Address

SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC
353 BERKSHIRE DR
RIVA, MD
ZIP 21140
Phone: (410) 298-8223
Fax: (410) 298-8225



Authorized Official

Authorized Official Name MICHAEL GOMBATZ PHD
Authorized Official TitleOWNER
Authorized Official Phone(410) 269-7789

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G245MEDICARE PIN (08)MD
136641600MEDICAID (05)MD

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467668699 MICHAEL GOMBATZ PHD
Individual
Psychologist (Clinical)353 BERKSHIRE DR
RIVA, MD 21140
(410) 269-7789

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.