Healthcare Provider Details

I. General information

NPI: 1891721981
Provider Name (Legal Business Name): PSYCH ASSOCIATES OF MARYLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 YORK RD STE 601
TIMONIUM MD
21093-6034
US

IV. Provider business mailing address

2331 YORK RD STE 100
TIMONIUM MD
21093-2246
US

V. Phone/Fax

Practice location:
  • Phone: 410-823-6408
  • Fax: 443-279-0738
Mailing address:
  • Phone: 667-668-2566
  • Fax: 443-279-0738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: NEEL NENE
Title or Position: PHYSICIAN
Credential:
Phone: 667-668-2566