PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND
NPI 1003988627
Psychologist - Group Psychotherapy in Waldorf, MD

Q: What is Psychotherapeutic Services Of Southern Maryland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Active since November 15, 2006

105 PAUL MELLON CT, SUITE 19, 20, WALDORF, MD 20602(301) 638-7787(301) 638-7768 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Psychotherapeutic Services Of Southern Maryland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND (NPI 1003988627) is a healthcare organization registered as a group psychotherapy in Waldorf, Maryland and active in the NPI registry since November 2006. The organization lists Randall Cooper, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003988627

Entity TypeOrganization

Primary Taxonomy103TP2701X

Legal Business NamePSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND

Location Address105 PAUL MELLON CT, SUITE 19, 20Waldorf, MD 20602-2762

Mailing AddressPo Box 690Chestertown, MD 21620-0690 · (410) 778-9114 · Fax (410) 778-7988

Phone(301) 638-7787

Fax(301) 638-7768

Organization SubpartNo

Authorized OfficialRandall CooperChief Financial Officer · (410) 778-9114

Enumeration DateNovember 15, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003988627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

105 PAUL MELLON CT, Waldorf, MD 20602

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psychotherapeutic Services Of Southern Maryland's NPI number?

The NPI number for Psychotherapeutic Services Of Southern Maryland is 1003988627. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Psychotherapeutic Services Of Southern Maryland located?

Psychotherapeutic Services Of Southern Maryland is located at 105 Paul Mellon Ct Suite 19, 20, Waldorf, MD 20602. The listed phone number is (301) 638-7787.

What is Psychotherapeutic Services Of Southern Maryland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Psychotherapeutic Services Of Southern Maryland was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.