DR. SHOUH-RONG VIVIAN TSAI PSY.D.
NPI 1053756908
Psychologist - Clinical in Frederick, MD

Q: What is Shouh-rong Tsai's NPI number?

The NPI number for Shouh-rong Tsai is 1053756908. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Q: What is Shouh-rong Tsai's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shouh-rong Tsai was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since May 06, 2013PECOS Enrolled

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

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2025, Sep 12, 2020, Feb 6, 2017 (3 updates tracked since 2017).

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About Dr. Shouh-rong Vivian Tsai Psy.d. NPPES

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

DR. SHOUH-RONG VIVIAN TSAI PSY.D. (NPI 1053756908) is an individual clinical provider in Frederick, Maryland, licensed in Maryland (05117) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053756908

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHOUH-RONG VIVIAN TSAICredential: PSY.D.

Location Address5301 BUCKEYSTOWN PIKE STE 440Frederick, MD 21704-8319

Mailing Address5301 Buckeystown Pike Ste 440Frederick, MD 21704-8319 · (240) 651-3890 · Fax (240) 815-6015

Phone(240) 651-3890

Fax(240) 815-6015

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMay 6, 2013

Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1053756908 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shouh-rong Vivian Tsai Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688815061

PECOS Enrollment IDI20130727000031

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shouh-rong Tsai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peaceful Mind Psychotherapy LLC

Same address

Clinical

5301 BUCKEYSTOWN PIKE STE 440
Frederick, MD 21704

Reassigned Medicare billing, Maryland enrollment

NPI 1023513371 (240) 651-3890

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

265 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$175.57 typical visit price

range $57.99 – $175.57

Typical copayment $43.89 (range $14.49 – $43.89)

Most-billed visit code 99205

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACEFUL MIND PSYCHOTHERAPY LLC

Psychologist (Clinical)

5301 BUCKEYSTOWN PIKE STE 440
FREDERICK, MD 21704

Frederick County (240) 651-3890

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 Shouh-rong Tsai's NPI number?

The NPI number for Shouh-rong Tsai is 1053756908. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Shouh-rong Tsai located?

Shouh-rong Tsai practices at 5301 Buckeystown Pike Ste 440, Frederick, MD 21704. The listed phone number is (240) 651-3890.

What is Shouh-rong Tsai's specialty?

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

Is Shouh-rong Tsai enrolled in Medicare?

Yes. Shouh-rong Tsai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shouh-rong Tsai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shouh-rong Tsai reassigns Medicare benefits to Peaceful Mind Psychotherapy LLC (Frederick, MD). The 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 Shouh-rong Tsai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shouh-rong Tsai was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.