WAVERLY CENTER FOR PSYCHOTHERAPY, LLC
NPI 1700473659
Clinic/Center - Mental Health (Including Community Mental Health Center) in Upper Marlboro, MD

Q: What is Waverly Center For Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since December 27, 2020

13708 CAPTAIN MARBURY LN, UPPER MARLBORO, MD 20772(301) 417-5506(301) 235-1587 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Waverly Center For Psychotherapy, Llc NPPES

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

WAVERLY CENTER FOR PSYCHOTHERAPY, LLC (NPI 1700473659) is a healthcare organization registered as a mental health (including community mental health center) in Upper Marlboro, Maryland and active in the NPI registry since December 2020. The organization lists Kimberly R Woodard, Principal Member, as its authorized official.

NPPES Registry Identity

NPI1700473659

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWAVERLY CENTER FOR PSYCHOTHERAPY, LLC

Location Address13708 CAPTAIN MARBURY LNUpper Marlboro, MD 20772-6118

Mailing Address13708 Captain Marbury LnUpper Marlboro, MD 20772-6118 · (301) 417-5506 · Fax (301) 235-1587

Phone(301) 417-5506

Fax(301) 235-1587

Organization SubpartNo

Authorized OfficialKimberly R WoodardPrincipal Member · (301) 417-5506

Enumeration DateDecember 27, 2020

NPPES CertifiedDecember 27, 2020

✔ NPI 1700473659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

13708 CAPTAIN MARBURY LN, Upper Marlboro, MD 20772

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Other Providers at the Same Location NPPES

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

KIMBERLY R WOODARD LGPC

Counselor (Professional)

13708 CAPTAIN MARBURY LN
UPPER MARLBORO, MD 20772

Prince George's County (301) 485-9831

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 Waverly Center For Psychotherapy, LLC's NPI number?

The NPI number for Waverly Center For Psychotherapy, LLC is 1700473659. It was assigned to this organization in the NPPES registry on December 27, 2020.

Where is Waverly Center For Psychotherapy, LLC located?

Waverly Center For Psychotherapy, LLC is located at 13708 Captain Marbury Ln, Upper Marlboro, MD 20772. The listed phone number is (301) 417-5506.

What is Waverly Center For Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Waverly Center For Psychotherapy, LLC was last updated on December 27, 2020. 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.