GREEN VALLEY PSYCHOLOGICAL ASSOCIATES LLC NPI 1215067715

NPI Information

  • NPI: 1215067715
  • Provider Name: GREEN VALLEY PSYCHOLOGICAL ASSOCIATES, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 2360 W JOPPA RD
    SUITE 219
    LUTHERVILLE, MD
    ZIP 21093
  • Phone: (410) 583-8892

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NPI Details

GREEN VALLEY PSYCHOLOGICAL ASSOCIATES, LLC is a clinical psychologist in Lutherville, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. GREEN VALLEY PSYCHOLOGICAL ASSOCIATES, LLC NPI is 1215067715. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2360 W JOPPA RD
SUITE 219
LUTHERVILLE, MD
ZIP 21093-624
Phone: (410) 583-8892
Fax: (410) 823-5114

The provider's authorized official is Michael W. Nolet .
The authorized official title is President and has the following contact phone number (410) 583-8892.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical3990MARYLANDYes
2103TC0700XPsychologistClinicalX
3103TC2200XPsychologistClinical Child & Adolescent3990MARYLANDX
4103T00000XPsychologist3990MARYLANDX
5103TP2701XPsychologistGroup Psychotherapy3990MARYLANDX
61041C0700XSocial WorkerClinical721MARYLANDX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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