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CODY WATERMAN ADT
NPI 1407639636
Counselor - Addiction (Substance Use Disorder) in Frederick, MD

Active since August 14, 2023
205 BROADWAY ST STE 110, FREDERICK, MD 21701(301) 637-0222 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Waterman Adt NPPES

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

CODY WATERMAN ADT (NPI 1407639636) is an individual addiction (substance use disorder) provider in Frederick, Maryland, licensed in Maryland (ADT3307) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1407639636
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCODY WATERMANCredential: ADT
Location Address205 BROADWAY ST STE 110Frederick, MD 21701-6760
Mailing Address205 Broadway St Ste 110Frederick, MD 21701-6760 · (301) 637-0222
Phone(301) 637-0222
Sole ProprietorNo
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1407639636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · ADT3307
205 BROADWAY ST STE 110, Frederick, MD 21701
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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 Cody Waterman's NPI number?

The NPI number for Cody Waterman is 1407639636. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Cody Waterman located?

Cody Waterman practices at 205 Broadway St Ste 110, Frederick, MD 21701. The listed phone number is (301) 637-0222.

What is Cody Waterman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cody Waterman was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.