SUPPORTIVE CARE OF MARYLAND LLC
NPI 1679162150
Psychologist - Clinical in Baltimore, MD

Active since January 11, 2021
2095 ROCKROSE AVE, BALTIMORE, MD 21211(718) 298-4375 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Supportive Care Of Maryland Llc NPPES

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

SUPPORTIVE CARE OF MARYLAND LLC (NPI 1679162150) is a healthcare organization registered as a clinical in Baltimore, Maryland and active in the NPI registry since January 2021. The organization lists Raphael Lichtschein, President, as its authorized official.

NPPES Registry Identity

NPI1679162150
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUPPORTIVE CARE OF MARYLAND LLC
Location Address2095 ROCKROSE AVEBaltimore, MD 21211-1328
Mailing Address27 Randolph RdHowell, NJ 07731-8611 · (718) 298-4375
Organization SubpartNo
Authorized OfficialRaphael LichtscheinPresident · (718) 506-1115
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1679162150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2095 ROCKROSE AVE, Baltimore, MD 21211

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 6

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

Skilled Nursing Facility
2095 ROCKROSE AVE
BALTIMORE, MD 21211
Internal Medicine (Nephrology)
2095 ROCKROSE AVE
BALTIMORE, MD 21211
Speech-Language Pathologist
2095 ROCKROSE AVE
BALTIMORE, MD 21211
Skilled Nursing Facility
2095 ROCKROSE AVE
BALTIMORE, MD 21211
Occupational Therapist
2095 ROCKROSE AVE
BALTIMORE, MD 21211
Optometrist
2095 ROCKROSE AVE
BALTIMORE, MD 21211

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 Supportive Care Of Maryland LLC's NPI number?

The NPI number for Supportive Care Of Maryland LLC is 1679162150. It was assigned to this organization in the NPPES registry on January 11, 2021.

Where is Supportive Care Of Maryland LLC located?

Supportive Care Of Maryland LLC is located at 2095 Rockrose Ave, Baltimore, MD 21211. The listed phone number is (718) 298-4375.

What is Supportive Care Of Maryland LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Supportive Care Of Maryland LLC was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.