EASTERN SHORE PSYCHOLOGICAL SERVICE, LLC
NPI 1730252537
Community/Behavioral Health in Princess Anne, MD

Active since November 17, 2006
11120 SOMERSET AVE, PRINCESS ANNE, MD 21853(410) 651-4200(410) 651-4290 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Shore Psychological Service, Llc NPPES

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

EASTERN SHORE PSYCHOLOGICAL SERVICE, LLC (NPI 1730252537) is a healthcare organization registered as a community/behavioral health in Princess Anne, Maryland and active in the NPI registry since November 2006. The organization lists Mary Kathyrn Seifert, Executive Director Ceo, as its authorized official.

NPPES Registry Identity

NPI1730252537
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTERN SHORE PSYCHOLOGICAL SERVICE, LLC
Location Address11120 SOMERSET AVEPrincess Anne, MD 21853-2970
Mailing Address2336 Goddard ParkwaySalisbury, MD 21801 · (410) 334-6961 · Fax (410) 334-6362
Fax(410) 651-4290
Organization SubpartYes
Authorized OfficialMary Kathyrn SeifertExecutive Director Ceo · (410) 334-6961
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 4, 2014
NPI 1730252537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

11120 SOMERSET AVE, Princess Anne, MD 21853

Other Identifiers 6

Other259147000MD · Magellan Group
Other517251Uhc Mamsi Group
Medicare PIN742LMD
OtherLM49EAMD · Carefirst Bcbs Group
OtherR968DC · Carefirst Federal Group
Medicaid609500303MD

Other Providers at the Same Location NPPES 11

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

Counselor
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Counselor (Professional)
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Social Worker (Clinical)
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Social Worker (Clinical)
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Clinic/Center (Mental Health (Including Community Mental Health Center))
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Social Worker (Clinical)
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Counselor
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853
Counselor
11120 SOMERSET AVE
PRINCESS ANNE, MD 21853

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 Service, LLC's NPI number?

The NPI number for Eastern Shore Psychological Service, LLC is 1730252537. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Eastern Shore Psychological Service, LLC located?

Eastern Shore Psychological Service, LLC is located at 11120 Somerset Ave, Princess Anne, MD 21853. The listed phone number is (410) 651-4200.

What is Eastern Shore Psychological Service, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eastern Shore Psychological Service, LLC was last updated on August 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.