MEDICARE: ARUNDEL PSYCHOTHERAPY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker
4	1041C0700X	Clinical Social Worker	03078	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	184064	OTHER	MHN
2	S003	OTHER	BLUESHIELDFEDERAL
3	184064	OTHER	TRICARE
4	IGO10247	OTHER	MAGELLAN BEHAVIORAL HEALT
5	LR47	OTHER	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1326144130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARUNDEL PSYCHOTHERAPY ASSOCIATES

Provider Business Mailing Address
First Line	:	877 BALTIMORE ANNAPOLIS BLVD STE 202
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-4716
Country	:	US
Telephone Number	:	410-760-5588
Fax Number	:	410-544-3646

Provider Business Practice Location Address
First Line	:	877 BALTIMORE ANNAPOLIS BLVD STE 202
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-4716
Country	:	US
Telephone Number	:	410-760-5588
Fax Number	:	410-544-3646

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHERRYL LYNN SILBERMAN
Credential	:	LCSWC
Telephone Number	:	410-760-5588

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/21/2022

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