Wellspring Family Medicine, Pc, NPI 1265952998
Psychologist in Oakland, MD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1265952998
NPI Entity Type Organization
Provider Name Wellspring Family Medicine, Pc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 311 N 4th St, Oakland, MD, US
Provider Mailing Address 311 N 4th St, Oakland, MD, US, 215501371
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Ramona Thomas
Official Position OPERATIONS MANAGER
Phone 301-501-5110

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.
Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

103T00000X

Taxonomy Name Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 05746
License State MD
Description 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.

Other Organization Name

Wellspring family Medicine
Doing Business As

Business Address

Wellspring Family Medicine, Pc
311 N 4th St

Oakland, MD, US

Phone: 301-334-7855
Fax: 301-334-7828

Mailing Address

Wellspring Family Medicine, Pc
311 N 4th St
Oakland, MD, US
ZIP 215501371
Phone: 301-334-7855
Fax: 301-334-7828

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1041C0700X

Behavioral Health & Social Service Providers

Social Worker

12014 MD No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
413901100 MD MEDICAID 05
3810006442 WV MEDICAID 05

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