Provider Demographics
NPI:1861488322
Name:MAY, JOHN RAYMOND (PHD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:RAYMOND
Last Name:MAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10774 HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3646
Mailing Address - Country:US
Mailing Address - Phone:410-992-7288
Mailing Address - Fax:410-997-2880
Practice Address - Street 1:10774 HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3646
Practice Address - Country:US
Practice Address - Phone:410-992-7288
Practice Address - Fax:410-997-2880
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD508101YM0800X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
7503017 PPOOtherAUSHC AETNA
26765OtherJOHN HOPKINS USFHP EHP
341100 01OtherCAREFIRST BLUE CROSS MD
28670003OtherCAREFIRST BLUE CROSS DC
31493OtherALLIANCE
45981OtherCIGNA PPO
PAROtherCHOICE CARE
097362OtherHMC
967098OtherFIRST HEALTH NETWORK PPO
1992OtherAPS (INCLUDES MOTOROLA)
KAIREROther207991
165351OtherCOMPSYCHE MANAGED HEALTH
45981PAROtherCIGNA BEHAVIORAL HEALTH
341100 01OtherCAREFIRST BLUE CROSS MD