South River Psychiatric Services, Llc
Psychiatry Clinic
1600 Crain Hwy S Ste 608, Glen Burnie
Maryland, 21061-6442
410-205-9205 619-268-5973
Maps & DirectionsSouth River Psychiatric Services, Llc is a Psychiatry Clinic in Glen Burnie, Maryland. It is located at 1600 Crain Hwy S Ste 608, Glen Burnie, MD and its contact number is 410-205-9205. The authorized person for South River Psychiatric Services, Llc is Dr. Donna Lorraine Ticknor
who is Owner/physician of the clinic and his/her contact number is 410-205-9205.
South River Psychiatric Services, Llc Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
South River Psychiatric Services, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South River Psychiatric Services, Llc |
| Specialization: | Psychiatry |
| Clinic Address: | 1600 Crain Hwy S Ste 608, Glen Burnie,
Maryland, 21061-6442 |
| Phone: | 410-205-9205 |
| Fax: | 619-268-5973 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Donna Lorraine Ticknor |
| Position: | Owner/physician |
| Contact Number: | 410-205-9205 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South River Psychiatric Services, Llc clinic are as mentioned below.
| NPI Number: | 1275382871 |
| NPI Enumeration Date: | 15 May, 2024 |
| NPI Last Update On: | 15 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South River Psychiatric Services, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1720131295 | Other | | Individual Npi |
| D0086372 | Other | Maryland | State Medical License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | South River Psychiatric Services, Llc
408 Kathe Ct,
Riva, Maryland |
| Zip: | 21140-1312 |
| Phone Number: | 410-205-9205 |
| Fax Number: | 619-268-5973 |
Patients can reach South River Psychiatric Services, Llc at
1600 Crain Hwy S Ste 608, Glen Burnie, Maryland or can
call to book an appointment on 410-205-9205.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.