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PEACEFUL MIND HEALING
NPI 1023513371
Psychologist - Clinical in Frederick, MD

Active since March 28, 2018
5301 BUCKEYSTOWN PIKE STE 440, FREDERICK, MD 21704(240) 651-3890(240) 815-6015 Get Directions Write a Review

NPPES record last updated: September 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2020, Mar 28, 2018 (2 updates tracked since 2018).

About Peaceful Mind Healing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEFUL MIND HEALING (NPI 1023513371) is a healthcare organization registered as a clinical in Frederick, Maryland and active in the NPI registry since March 2018. The organization lists Shouh-rong Vivian Tsai, Owner, as its authorized official.

NPPES Registry Identity

NPI1023513371
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePEACEFUL MIND PSYCHOTHERAPY LLC
Location Address5301 BUCKEYSTOWN PIKE STE 440Frederick, MD 21704-8370
Mailing Address5301 Buckeystown Pike Ste 440Frederick, MD 21704-8370 · (240) 651-3890 · Fax (240) 815-6015
Phone(240) 651-3890
Fax(240) 815-6015
Organization SubpartNo
Authorized OfficialShouh-rong Vivian TsaiOwner · (240) 651-3890
Enumeration DateMarch 28, 2018
Last NPPES UpdateSeptember 12, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2020
✔ NPI 1023513371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 05117
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5301 BUCKEYSTOWN PIKE STE 440, Frederick, MD 21704
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Other Names 1

Doing Business AsPeaceful Mind Healing

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peaceful Mind Healing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peaceful Mind Healing, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shouh-Rong Tsai, PSY.D.
Clinical Psychologist
NPI 1053756908
5301 BUCKEYSTOWN PIKE STE 440
Frederick, MD 21704
(240) 651-3890
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peaceful Mind Psychotherapy LLC's NPI number?

The NPI number for Peaceful Mind Psychotherapy LLC is 1023513371. It was assigned to this organization in the NPPES registry on March 28, 2018. The provider is doing business as Peaceful Mind Healing.

Where is Peaceful Mind Psychotherapy LLC located?

Peaceful Mind Psychotherapy LLC is located at 5301 Buckeystown Pike Ste 440, Frederick, MD 21704. The listed phone number is (240) 651-3890.

What is Peaceful Mind Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Peaceful Mind Psychotherapy LLC enrolled in Medicare?

Yes. Peaceful Mind Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peaceful Mind Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Peaceful Mind Psychotherapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peaceful Mind Psychotherapy LLC was last updated on September 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.