Provider Demographics
NPI:1811596067
Name:INPSYCH, LLC
Entity Type:Organization
Organization Name:INPSYCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:EDMOND
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:202-455-6145
Mailing Address - Street 1:6801 OAK HALL LN # 2254
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-9998
Mailing Address - Country:US
Mailing Address - Phone:202-455-6124
Mailing Address - Fax:
Practice Address - Street 1:6801 OAK HALL LN # 2254
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-9998
Practice Address - Country:US
Practice Address - Phone:202-455-6124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty