SOUTHEAST PSYCH SERVICES LLC
NPI 1871188771
Psychologist in Ellicott City, MD

Active since March 03, 2021
3355 SAINT JOHNS LN STE F, ELLICOTT CITY, MD 21042(706) 204-1493(855) 264-6670 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Apr 2, 2026, Apr 6, 2023 and 1 more (4 updates tracked since 2021).

About Southeast Psych Services Llc NPPES

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

SOUTHEAST PSYCH SERVICES LLC (NPI 1871188771), doing business as Integrated Psych Solutions, is a healthcare organization registered as a psychologist in Ellicott City, Maryland and active in the NPI registry since March 2021. The organization maintains 3 additional practice locations and lists Davis Debrady, Director, as its authorized official.

NPPES Registry Identity

NPI1871188771
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUTHEAST PSYCH SERVICES LLC
Location Address3355 SAINT JOHNS LN STE FEllicott City, MD 21042-2600
Mailing Address1265 Interstate Pkwy Ste BAugusta, GA 30909-6481 · (706) 204-1366
Fax(855) 264-6670
Organization SubpartNo
Authorized OfficialDavis DebradyDirector · (706) 204-1493
Enumeration DateMarch 3, 2021
Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1871188771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3355 SAINT JOHNS LN STE F, Ellicott City, MD 21042

Other Names 1

Doing Business AsIntegrated Psych Solutions

Secondary Practice Locations 3

Location 1500 Marquette Ave NW Ste 1200Albuquerque, NM 87102-5312 · Phone (706) 204-1493 · Fax (855) 264-6670
Location 23636 N Central Ave Ste 710Phoenix, AZ 85012-1936 · Phone (706) 204-1493 · Fax (855) 264-6670
Location 3561 Fieldcrest DrThe Villages, FL 32162-4600 · Phone (523) 097-4653 · Fax (855) 264-6670

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Psych Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Southeast Psych Services LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor10
Clinical Psychologist8
Clinical Social Worker1
Nurse Practitioner1
Psychiatry1

Nearest to this location (20)

See all 21
Clinical Psychologist
NPI 1801336789
1101 EDGAR ST
York, PA 17403
(717) 851-1500
✔ PECOS✔ Accepts Medicare47 mi
Clinical Social Worker
NPI 1508902776
24 CLUBB ST
Bloomfield, NJ 07003
(678) 777-4109
✔ PECOS✔ Accepts Medicare176 mi
Psychiatry
NPI 1033386081
410 LANDING AVE
Smithtown, NY 11787
(631) 229-6942
✔ PECOS221 mi
Clinical Psychologist
NPI 1265685853
1899 POWERS FERRY RD SE FL 2
Atlanta, GA 30339
(678) 831-0608
✔ PECOS✔ Accepts Medicare563 mi
Mental Health Counselor
NPI 1588096937
275 CUMBERLAND BND
Nashville, TN 37228
(615) 726-3340
✔ PECOS✔ Accepts Medicare585 mi
Clinical Psychologist
NPI 1235179078
3007 CRESTMONT CT
Opelika, AL 36801
(806) 789-1352
✔ PECOS✔ Accepts Medicare664 mi
Clinical Psychologist
NPI 1982630265
619 S MARION AVE NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM
Lake City, FL 32025
(386) 755-3016
✔ PECOS✔ Accepts Medicare708 mi
Clinical Psychologist
NPI 1962595843
560 SW MCFARLANE AVE
Lake City, FL 32025
(352) 333-7761
✔ PECOS✔ Accepts Medicare709 mi
Clinical Psychologist
NPI 1861578940
9343 SW 60TH TERRACE RD
Ocala, FL 34476
(954) 336-2965
✔ PECOS✔ Accepts Medicare754 mi
Clinical Psychologist
NPI 1538517529
3452 NW 55TH CT
Ocala, FL 34482
(561) 723-7233
✔ PECOS✔ Accepts Medicare758 mi
Mental Health Counselor
NPI 1205581089
1130 SE 18TH PL
Ocala, FL 34471
(352) 390-6656
✔ PECOS✔ Accepts Medicare760 mi
Mental Health Counselor
NPI 1285457036
4649 WALLFIELD RD
Houlka, MS 38850
(850) 902-7967
✔ PECOS764 mi
Mental Health Counselor
NPI 1063203636
4050 SE 145TH ST
Summerfield, FL 34491
(405) 922-8735
✔ PECOS✔ Accepts Medicare769 mi
Mental Health Counselor
NPI 1831628866
1400 N US HIGHWAY 441 STE 553
The Villages, FL 32159
(833) 769-3524
✔ PECOS✔ Accepts Medicare772 mi
Mental Health Counselor
NPI 1447648340
2485 PINELLAS PL
The Villages, FL 32163
(844) 884-9355
✔ PECOS777 mi
Mental Health Counselor
NPI 1760753834
3971 N LECANTO HWY UNIT 640041
Beverly Hills, FL 34464
(352) 325-3424
✔ PECOS✔ Accepts Medicare783 mi
Clinical Psychologist
NPI 1407007859
1720 S ORANGE AVE FL 3
Orlando, FL 32806
(321) 841-5056
✔ PECOS✔ Accepts Medicare786 mi
Mental Health Counselor
NPI 1376298406
710 OAKFIELD DR
Brandon, FL 33511
(866) 472-7075
✔ PECOS✔ Accepts Medicare843 mi
Mental Health Counselor
NPI 1780652685
34650 US HIGHWAY 19 N STE 206
Palm Harbor, FL 34684
(833) 769-3524
✔ PECOS✔ Accepts Medicare843 mi
Nurse Practitioner
NPI 1639501620
19000 SW 377TH ST
Homestead, FL 33034
(786) 349-6271
✔ PECOS979 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southeast Psych Services LLC's NPI number?

The NPI number for Southeast Psych Services LLC is 1871188771. It was assigned to this organization in the NPPES registry on March 3, 2021. The provider is doing business as Integrated Psych Solutions.

Where is Southeast Psych Services LLC located?

Southeast Psych Services LLC is located at 3355 Saint Johns Ln Ste F, Ellicott City, MD 21042. The listed phone number is (706) 204-1493.

What is Southeast Psych Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Southeast Psych Services LLC enrolled in Medicare?

Yes. Southeast Psych Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Psych Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to Southeast Psych Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (10), Clinical Psychologist (8) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Psych Services LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeast Psych Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Psych Services LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.