Provider Demographics
NPI:1578884102
Name:PSYCHOLOGICAL CARE SERVICES, LTD
Entity Type:Organization
Organization Name:PSYCHOLOGICAL CARE SERVICES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCTAMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-823-4311
Mailing Address - Street 1:2360 W JOPPA RD
Mailing Address - Street 2:STE 218
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4624
Mailing Address - Country:US
Mailing Address - Phone:410-823-4311
Mailing Address - Fax:410-825-7203
Practice Address - Street 1:2360 W JOPPA RD
Practice Address - Street 2:STE 218
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4624
Practice Address - Country:US
Practice Address - Phone:410-823-4311
Practice Address - Fax:410-825-7203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1039103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408630900Medicaid
MDG579Medicare UPIN