South River Psychiatric Services, LLC
NPI 1275382871 · Psychiatry Physician · Glen Burnie, MD
South River Psychiatric Services, LLC is a Psychiatry Physician organization in Glen Burnie, MD (NPI 1275382871).
Provider details
- NPI number
- 1275382871
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Ticknor, Owner/Physician(410) 205-9205
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South River Psychiatry
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Frequently asked questions
- What is South River Psychiatric Services, LLC's NPI number?
- South River Psychiatric Services, LLC's National Provider Identifier (NPI) is 1275382871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South River Psychiatric Services, LLC?
- South River Psychiatric Services, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is South River Psychiatric Services, LLC located?
- South River Psychiatric Services, LLC's practice location on file with NPPES is 1600 Crain Hwy S Ste 608, Glen Burnie, MD 21061-6442.
- What is South River Psychiatric Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for South River Psychiatric Services, LLC is (410) 205-9205.
- Who is the authorized official for South River Psychiatric Services, LLC?
- The authorized official listed on South River Psychiatric Services, LLC's NPPES record is Donna Ticknor, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South River Psychiatric Services, LLC's NPI active?
- Yes — South River Psychiatric Services, LLC's NPI (1275382871) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.