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EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
NPI 1659630523
Counselor - Addiction (Substance Use Disorder) in Easton, MD

Active since May 11, 2012
29520 CANVASBACK DR, EASTON, MD 21601(410) 822-5007(410) 822-5569 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Shore Psychological Services, Llc NPPES

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

EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC (NPI 1659630523) is a healthcare organization registered as an addiction (substance use disorder) in Easton, Maryland and active in the NPI registry since May 2012. The organization lists Mary Kathryn Seifert, Executive Ceo, as its authorized official.

NPPES Registry Identity

NPI1659630523
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameEASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Location Address29520 CANVASBACK DREaston, MD 21601-7124
Mailing Address2336 Goddard PkwySalisbury, MD 21801-1126 · (410) 334-6961 · Fax (410) 334-6362
Phone(410) 822-5007
Fax(410) 822-5569
Organization SubpartYes
Authorized OfficialMary Kathryn SeifertExecutive Ceo · (410) 334-6961
Enumeration DateMay 11, 2012
Last NPPES UpdateJuly 31, 2012
✔ NPI 1659630523 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
29520 CANVASBACK DR, Easton, MD 21601
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Other Identifiers 3

OtherR968MD · Carefirst Bcbs-federal
OtherLM49EAMD · Carefirst Bcbs
Medicaid520202701MD

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 20

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

PAUL J WASHO LCSW-C
Social Worker (Clinical)
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
LINDSEY RENEE WORM LCSW-C
Social Worker (Clinical)
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
MRS. ELIZABETH ANN SIMPERS LCPC
Counselor (Professional)
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
THEODORE LANDON LAUER BA
Counselor
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
LISA MARIE LUSBY
Counselor
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
BARRY DOUGLAS SOLOMON
Counselor
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
ROBERT S KOCH
Counselor
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007
MRS. TERESA CALLAHAN HULSEMAN NP
Nurse Practitioner (Psychiatric/Mental Health)
29520 CANVASBACK DR
EASTON, MD 21601
Talbot County (410) 822-5007

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 Eastern Shore Psychological Services, LLC's NPI number?

The NPI number for Eastern Shore Psychological Services, LLC is 1659630523. It was assigned to this organization in the NPPES registry on May 11, 2012.

Where is Eastern Shore Psychological Services, LLC located?

Eastern Shore Psychological Services, LLC is located at 29520 Canvasback Dr, Easton, MD 21601. The listed phone number is (410) 822-5007.

What is Eastern Shore Psychological Services, LLC'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 Eastern Shore Psychological Services, LLC was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.