Provider Demographics
NPI:1790996866
Name:MICHAEL A. SITAR, PHD, PA
Entity Type:Organization
Organization Name:MICHAEL A. SITAR, PHD, PA
Other - Org Name:AAD PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SITAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-718-3588
Mailing Address - Street 1:11303 AMHERST AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4600
Mailing Address - Country:US
Mailing Address - Phone:301-718-3588
Mailing Address - Fax:
Practice Address - Street 1:7920 NORFOLK AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2500
Practice Address - Country:US
Practice Address - Phone:301-718-3588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01910103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty