Southeast Psych Services LLC
NPI 1871188771ActiveOrganization· Psychologist· Ellicott City, MD
Psychologist in Ellicott City, Maryland, registered in NPPES in March 2021. The authorized official on file is Davis Debrady, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871188771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2021 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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