Healthcare Provider Details

I. General information

NPI: 1386354561
Provider Name (Legal Business Name): MOUNT WASHINGTON PSYCH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 OLD COURT RD STE 405
BALTIMORE MD
21208-3908
US

IV. Provider business mailing address

3635 OLD COURT RD STE 405
BALTIMORE MD
21208-3908
US

V. Phone/Fax

Practice location:
  • Phone: 410-983-3366
  • Fax:
Mailing address:
  • Phone: 443-257-1270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: ISAAC FRIEDMAN
Title or Position: OWNER
Credential: PSYD
Phone: 443-257-1270