EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC - NPI 1912356684

Q: What is Eastern Shore Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

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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 1912356684) is a healthcare organization registered as an addiction (substance use disorder) in Chestertown, Maryland and active in the NPI registry since June 2016. The organization lists Cathy K Burkhard, Esps Billing Supervisor & Credentia, as its authorized official.

NPPES Registry Identity

NPI1912356684

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameEASTERN SHORE PSYCHOLOGICAL SERVICES, LLC

Location Address315 HIGH ST STE 201Chestertown, MD 21620-1350

Mailing Address2336 Goddard PkwySalisbury, MD 21801-1126 · (410) 334-6961 · Fax (410) 334-6362

Phone(410) 334-6961

Organization SubpartYes

Authorized OfficialCathy K BurkhardEsps Billing Supervisor & Credentia · (410) 334-6961

Enumeration DateJune 3, 2016

Last NPPES UpdateSeptember 20, 2016

✔ NPI 1912356684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

315 HIGH ST STE 201, Chestertown, MD 21620

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Other Identifiers 1

Medicaid520202703MD

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

Other Providers at the Same Location NPPES 3

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

EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC

Community/Behavioral Health

315 HIGH ST STE 201
CHESTERTOWN, MD 21620

Kent County (410) 334-6961

EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

315 HIGH ST STE 201
CHESTERTOWN, MD 21620

Kent County (410) 334-6961

MS. AKILAH UNIQUA JOHNSON

Counselor

315 HIGH ST STE 201
CHESTERTOWN, MD 21620

Kent County (443) 282-0102

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 1912356684. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is Eastern Shore Psychological Services, LLC located?

Eastern Shore Psychological Services, LLC is located at 315 High St Ste 201, Chestertown, MD 21620. The listed phone number is (410) 334-6961.

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

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Eastern Shore Psychological Services, LLC was last updated on September 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.