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MARYLAND ONCOLOGY HEMATOLOGY, P.A.
NPI 1649879362
Psychologist - Clinical in Columbia, MD

Active since October 23, 2020CLIA 21D0214528 · Certificate of Compliance
10710 CHARTER DR STE G020, COLUMBIA, MD 21044(410) 964-2212(410) 964-0380 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryland Oncology Hematology, P.a. NPPES

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

MARYLAND ONCOLOGY HEMATOLOGY, P.A. (NPI 1649879362) is a healthcare organization registered as a clinical in Columbia, Maryland and active in the NPI registry since October 2020. The organization holds a CLIA Certificate of Compliance certificate valid through September 8, 2027, maintains 2 additional practice locations, and lists Lisa Talbott, Practice Director, as its authorized official.

NPPES Registry Identity

NPI1649879362
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARYLAND ONCOLOGY HEMATOLOGY, P.A.
Location Address10710 CHARTER DR STE G020Columbia, MD 21044-3257
Mailing Address11720 Beltsville Dr Ste 300Beltsville, MD 20705-3119 · (410) 241-1657
Phone(410) 964-2212
Fax(410) 964-0380
Organization SubpartNo
Authorized OfficialLisa TalbottPractice Director · (410) 952-8421
Enumeration DateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1649879362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
10710 CHARTER DR STE G020, Columbia, MD 21044
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19905 Medical Center Dr Ste 200Rockville, MD 20850-6535 · Phone (301) 424-6231 · Fax (301) 294-4648
Location 2810 Bestgate Rd Ste 400Annapolis, MD 21401-3033 · Phone (410) 897-6200 · Fax (410) 266-7637

Other Identifiers 3

Medicaid400899507MD
Medicaid400899516MD
Medicaid400899500MD

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D0214528

Maryland Oncology Hematology PA · Columbia, MD
Active · expires Sep 8, 2027
CLIA Number21D0214528
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorTejaswi Sastry
Laboratory Phone(410) 964-2212
Laboratory LocationMaryland Oncology Hematology PA10710 Charter Drive Suite G020, Columbia, MD 21044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

MRS. LISA DEYULIA BSN, MSN, ANP
Nurse Practitioner (Adult Health)
10710 CHARTER DR STE G020
COLUMBIA, MD 21044
Howard County (410) 964-2212
AMY E TISSIERE
Social Worker
10710 CHARTER DR STE G020
COLUMBIA, MD 21044
Howard County (410) 964-2212
MRS. AMANDA LEIGH ROWLAND NP
Nurse Practitioner
10710 CHARTER DR STE G020
COLUMBIA, MD 21044
Howard County (410) 964-2212
MARISSA DAVIDSON
Nurse Practitioner
10710 CHARTER DR STE G020
COLUMBIA, MD 21044
Howard County (410) 964-2122
ISABEL BURICK ROSE
Physician Assistant
10710 CHARTER DR STE G020
COLUMBIA, MD 21044
Howard County (410) 964-2212

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 Maryland Oncology Hematology, P.A.'s NPI number?

The NPI number for Maryland Oncology Hematology, P.A. is 1649879362. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Maryland Oncology Hematology, P.A. located?

Maryland Oncology Hematology, P.A. is located at 10710 Charter Dr Ste G020, Columbia, MD 21044. The listed phone number is (410) 964-2212.

What is Maryland Oncology Hematology, P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Does Maryland Oncology Hematology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D0214528) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Oncology Hematology, P.A. was last updated on October 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.