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EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
NPI 1821492646
Community/Behavioral Health in Easton, MD

Active since October 22, 2014
29520 CANVASBACK DR, EASTON, MD 21601(410) 822-5007(410) 822-5569 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 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 1821492646) is a healthcare organization registered as a community/behavioral health in Easton, Maryland and active in the NPI registry since October 2014. The organization lists Mary Kathryn Seifert, Executive Ceo, as its authorized official.

NPPES Registry Identity

NPI1821492646
Entity TypeOrganization
Primary Taxonomy251S00000X
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 SubpartNo
Authorized OfficialMary Kathryn SeifertExecutive Ceo · (410) 334-6961
Enumeration DateOctober 22, 2014
Last NPPES UpdateMarch 19, 2015
✔ NPI 1821492646 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.
29520 CANVASBACK DR, Easton, MD 21601
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Other Identifiers 2

Medicaid609500300MD
Medicaid609500301MD

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 1821492646. It was assigned to this organization in the NPPES registry on October 22, 2014.

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 Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eastern Shore Psychological Services, LLC was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.