Owensville Primary Care, Inc is a Cognitive & Behavioral - Psychology Clinic in Shady Side, Maryland. This organization is also known as sub part of 1225110067. It is located at 6131 Shady Side Rd, Shady Side, MD and its contact number is 410-867-2200. The authorized person for Owensville Primary Care, Inc is Christina Varga
who is Revenue Cycle Manager of the clinic and his/her contact number is 410-867-4700. Owensville Primary Care, Inc Clinic have psychologists who perform variety of professional responsibilities, including assessment (identifying, diagnosing, and conceptualizing problems experienced by individuals or groups), intervention (creating, implementing and evaluating interventions designed to induce positive change) and consultation. Cognitive Behavioral Psychologists also participates in research, education, training, and clinical practice including a range of issues and populations.
Complete Clinic Profile:
Owensville Primary Care, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Owensville Primary Care, Inc
Specialization:
Cognitive & Behavioral Psychology
Clinic Address:
6131 Shady Side Rd, Shady Side, Maryland, 20764-9504
Phone:
410-867-2200
Fax:
410-867-1261
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:
Christina Varga
Position:
Revenue Cycle Manager
Contact Number:
410-867-4700
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 Owensville Primary Care, Inc clinic are as mentioned below.
NPI Number:
1174019327
Parent Organization:
1225110067
NPI Enumeration Date:
10 Jul, 2018
NPI Last Update On:
02 Jan, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Owensville Primary Care, Inc are as mentioned below.
Specialization
License Number
State
Status
Family Medicine
Primary
Cognitive & Behavioral
LC0431
Maryland
Secondary
Family Medicine
H78924
Maryland
Secondary
Internal Medicine
D0038563
Maryland
Secondary
Public Health & General Preventive Medicine
H0076407
Maryland
Secondary
Federally Qualified Health Center (FQHC)
Secondary
Physician Assistant
C0003844
Maryland
Secondary
Primary Care
R124971
Maryland
Secondary
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
97991100
Medicaid
Maryland
1063914836
Medicaid
Maryland
209002300
Medicaid
Maryland
338427600
Medicaid
Maryland
400629100
Medicaid
Maryland
404482700
Medicaid
Maryland
103559201
Medicaid
Maryland
531981100
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Owensville Primary Care, Inc 134 Owensville Rd, West River, Maryland
Zip:
20778-9702
Phone Number:
410-867-4700
Fax Number:
410-867-4934
Patients can reach Owensville Primary Care, Inc at 6131 Shady Side Rd, Shady Side, Maryland or can call to book an appointment on 410-867-2200. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.