EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
NPI 1356798979
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chestertown, MD

NPI Status: Active since May 24, 2016

Contact Information

315 HIGH ST STE 201
CHESTERTOWN, MD
ZIP 21620
Phone: (410) 334-6961

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Eastern Shore Psychological Services, Llc, a provider established in Chestertown, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1356798979 assigned on May 2016. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Cathy K Burkhard (Esps Billing Supervisor & Credentia)

NPI
1356798979
Provider Name
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Entity Type
Organization
Location Address
315 HIGH ST STE 201 CHESTERTOWN, MD 21620
Location Phone
(410) 334-6961
Mailing Address
2336 GODDARD PKWY SALISBURY, MD 21801
Mailing Phone
(410) 334-6961
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2016
Last Update Date
09-20-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

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

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CATHY K BURKHARD

Authorized Official Title
ESPS BILLING SUPERVISOR & CREDENTIA
Authorized Official Phone
(410) 334-6961

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
609550005MEDICAID (05)MD 
742LMEDICARE PIN (08)MD 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356798979
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310614916914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 4 + 9 + 1 + 6 + 9 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1356798979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912356684EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Organization
Counselor (Addiction (Substance Use Disorder))315 HIGH ST STE 201
CHESTERTOWN, MD 21620
(410) 334-6961
1093164766EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Organization
Community/Behavioral Health315 HIGH ST STE 201
CHESTERTOWN, MD 21620
(410) 334-6961
1558928127MS. AKILAH UNIQUA JOHNSON
Individual
Counselor315 HIGH ST STE 201
CHESTERTOWN, MD 21620
(443) 282-0102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356798979, enumerated in the NPI registry as an "organization" on May 24, 2016

The provider is located at 315 High St Ste 201 Chestertown, Md 21620 and the phone number is (410) 334-6961

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 24, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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