PENINSULA MENTAL HEALTH SERVICES NPI 1952560989

Psychologist (Addiction (Substance Use Disorder)) in Salisbury, MD

NPI 1952560989 Organization Psychologist Addiction (Substance Use Disorder)

About PENINSULA MENTAL HEALTH SERVICES

Peninsula Mental Health Services is a provider established in Salisbury, Maryland specializing in psychologist (addiction (substance use disorder)) . The NPI number of Peninsula Mental Health Services is 1952560989 and was assigned on June 2008. The practitioner's primary taxonomy code is 103TA0400X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Peninsula Mental Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Michael B. Finegan Phd (Executive Director)

NPI

1952560989

Provider NamePENINSULA MENTAL HEALTH SERVICES
Provider Location Address102 W MARKET ST SALISBURY, MD 21801
Provider Mailing Address102 W MARKET ST SALISBURY, MD 21801
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date06-05-2008
Last Update Date06-05-2008


Primary Taxonomy

Taxonomy Code103TA0400X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationAddiction (Substance Use Disorder)
Taxonomy DescriptionA psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Business Address

PENINSULA MENTAL HEALTH SERVICES
102 W MARKET ST
SALISBURY, MD
ZIP 21801
Phone: (410) 860-2673
Fax: (410) 860-0450

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Mailing Address

PENINSULA MENTAL HEALTH SERVICES
102 W MARKET ST
SALISBURY, MD
ZIP 21801
Phone: (410) 860-2673
Fax: (410) 860-0450



Authorized Official

Authorized Official NameDR. MICHAEL B. FINEGAN PHD
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(410) 860-2673

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437257888MR. JAMES STEPHEN ROESSLER LPC
Individual
Counselor (Mental Health)102 W MARKET ST
SALISBURY, MD 21801
(410) 860-2673
1982703518MR. IVEN EUGENE WHITE LCPC
Individual
Counselor (Mental Health)102 W MARKET ST
SALISBURY, MD 21801
(410) 860-2673
1972604387MR. MICHAEL B. FINEGAN PH.D.
Individual
Psychologist (Clinical)102 W MARKET ST
SALISBURY, MD 21801
(410) 860-2673
1518039924PENINSULA MENTAL HEALTH SERVICES
Organization
Psychologist (Counseling)102 W MARKET ST
SALISBURY, MD 21801
(410) 860-2673
1013157858DR. VINCENT CHARLES SIRACUSANO MD
Individual
Psychiatry & Neurology (Psychiatry)102 W MARKET ST PENINSULA MENTAL HEALTH SERVICES
SALISBURY, MD 21801
(410) 860-2673

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.