MID ATLANTIC NEUROPSYCHOLOGY LLC
NPI 1245701713
Clinical Neuropsychologist in Baltimore, MD

Q: What is Mid Atlantic Neuropsychology LLC's NPI number?

The NPI number for Mid Atlantic Neuropsychology LLC is 1245701713. It was assigned to this organization in the NPPES registry on December 10, 2018.

Q: What is Mid Atlantic Neuropsychology LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since December 10, 2018

1501 SULGRAVE AVE STE 209, BALTIMORE, MD 21209(410) 205-9820 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Mar 19, 2019, Jan 15, 2019 and 1 more (4 updates tracked since 2018).

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About Mid Atlantic Neuropsychology Llc NPPES

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

MID ATLANTIC NEUROPSYCHOLOGY LLC (NPI 1245701713) is a healthcare organization registered as a clinical neuropsychologist in Baltimore, Maryland and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Baltimore and lists Jacob Priluck, President, as its authorized official.

NPPES Registry Identity

NPI1245701713

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameMID ATLANTIC NEUROPSYCHOLOGY LLC

Location Address1501 SULGRAVE AVE STE 209Baltimore, MD 21209-3650

Mailing Address1501 Sulgrave Ave Ste 209Baltimore, MD 21209-3650 · (410) 205-9820

Phone(410) 205-9820

Organization SubpartNo

Authorized OfficialJacob PriluckPresident · (410) 205-9820

Enumeration DateDecember 10, 2018

Last NPPES UpdateJanuary 12, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2023

✔ NPI 1245701713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1501 SULGRAVE AVE STE 209, Baltimore, MD 21209

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Secondary Practice Location 1

Location 12311 Hanway RdBaltimore, MD 21209-2601 · Phone (917) 783-0634

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYER SOLOMON LCSW-C

Social Worker (Clinical)

1501 SULGRAVE AVE STE 209
BALTIMORE, MD 21209

Baltimore County (410) 417-7576

MEIRA FERENCE LMSW

Counselor (Mental Health)

1501 SULGRAVE AVE STE 209
BALTIMORE, MD 21209

Baltimore County (443) 602-0119

SOLOMON COUNSELING, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

1501 SULGRAVE AVE STE 209
BALTIMORE, MD 21209

Baltimore County (443) 326-2645

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 Mid Atlantic Neuropsychology LLC's NPI number?

The NPI number for Mid Atlantic Neuropsychology LLC is 1245701713. It was assigned to this organization in the NPPES registry on December 10, 2018.

Where is Mid Atlantic Neuropsychology LLC located?

Mid Atlantic Neuropsychology LLC is located at 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209. The listed phone number is (410) 205-9820.

What is Mid Atlantic Neuropsychology LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Mid Atlantic Neuropsychology LLC was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.