Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 16, 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 13636 N Central Ave Ste 710Phoenix, AZ 85012-1936 · Phone (706) 204-1493 · Fax (855) 264-6670
Location 2561 Fieldcrest DrThe Villages, FL 32162-4600 · Phone (523) 097-4653 · Fax (855) 264-6670
Location 3500 Marquette Ave NW Ste 1200Albuquerque, NM 87102-5312 · Phone (706) 204-1493 · 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

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Psychiatry)
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Psychiatry & Neurology (Psychiatry)
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Psychiatry & Neurology (Psychiatry)
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Counselor (Mental Health)
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Social Worker (Clinical)
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Clinic/Center (Mental Health (Including Community Mental Health Center))
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Marriage & Family Therapist
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042
Psychologist
3355 SAINT JOHNS LN STE F
ELLICOTT CITY, MD 21042

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.

What insurance does Southeast Psych Services LLC accept?

Health plans from 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 8 days 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.