MAGELLAN PROVIDER SERVICES OF CA PC
NPI 1548984404
Counselor - Mental Health in Columbia, MD

Active since October 03, 2022
8621 ROBERT FULTON DR, COLUMBIA, MD 21046(833) 605-0634 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magellan Provider Services Of Ca Pc NPPES

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

MAGELLAN PROVIDER SERVICES OF CA PC (NPI 1548984404) is a healthcare organization registered as a mental health in Columbia, Maryland and active in the NPI registry since October 2022. The organization lists Brian Frey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1548984404
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMAGELLAN PROVIDER SERVICES OF CA PC
Location Address8621 ROBERT FULTON DRColumbia, MD 21046-2620
Mailing Address8621 Robert Fulton DrColumbia, MD 21046-2620 · (833) 605-0634
Organization SubpartNo
Authorized OfficialBrian FreyChief Financial Officer · (314) 406-8632
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
NPI 1548984404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8621 ROBERT FULTON DR, Columbia, MD 21046

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 Magellan Provider Services Of Ca PC's NPI number?

The NPI number for Magellan Provider Services Of Ca PC is 1548984404. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Magellan Provider Services Of Ca PC located?

Magellan Provider Services Of Ca PC is located at 8621 Robert Fulton Dr, Columbia, MD 21046. The listed phone number is (833) 605-0634.

What is Magellan Provider Services Of Ca PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Magellan Provider Services Of Ca PC was last updated on October 3, 2022. 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.