Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568468841 Deactivated / Inactive NPI Male Practitioner

Dr. Philip L Briley , PhD

Psychologist • Clinton, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Briley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date March 15, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Briley, PhD was a registered Psychologist practicing in Clinton, MD. Throughout an active medical career spanning 1 years, Dr. Briley provided care at the practice location at 7700 OLD BRANCH AVE until profile deactivation on 2006-03-15.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7700 Old Branch Ave
Ste B105

Clinton, MD 207351628

Telephone 3019348811
Fax 3019349321
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Clinton, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Clinton, MD (1248 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
182 15 $192.86 $165.54

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MD 00628

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
414910600 (MD)
Commercial Insurance / Payer ID Blue Cross
38160001 (DC)
Commercial Insurance / Payer ID Ncppo
513212 (MD)
Commercial Insurance / Payer ID Tricare
521255282 (MD)
Commercial Insurance / Payer ID Blue Cross
G074PL (MD)
Commercial Insurance / Payer ID Magellan
460568000 (MD)
Commercial Insurance / Payer ID Kaiser
281092 (MD)
Commercial Insurance / Payer ID Mamsi/alliance/mdipa/op
289607 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Mahteme Selassie , MD

Psychiatry & Neurology - Psychiatry

NPI 1225034135

Doctor of Medicine (M.D.)

Dr. Daniel Gozzi , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1316931413

Doctor of Medicine (M.D.)

William Shore

Psychologist

NPI 1487650404
Dr. Collins Sein , MD

Internal Medicine

NPI 1699769554

Doctor of Medicine (M.D.)

Dr. Adele Asimow , PhD

Psychologist - Clinical

NPI 1730360801

Doctor of Philosophy (Ph.D.)

Cecilia Scorah , RN

Registered Nurse

NPI 1992736540

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location March 03, 2010

Registered at 7700 OLD BRANCH AVE, STE B105, CLINTON, MD 207351628 (Tel: 3019348811)

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Updated Business Mailing Address March 03, 2010

Registered at 7700 OLD BRANCH AVE, STE B105, CLINTON, MD 207351628 (Tel: 3019348811)

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Provider Name / Credentials Updated March 03, 2010

Recorded as PHILIP BRILEY, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2010

Psychologist (License #00628 in MD)

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NPI Profile Reactivated March 23, 2006

Record officially reactivated for active practice on March 23, 2006

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NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

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Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568468841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: March 03, 2010
Deactivation Date: March 15, 2006
Sole Proprietor: Yes

Mailing Address

7700 Old Branch Ave, Ste B105

Clinton, MD 207351628

Phone: 3019348811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.