INTEGRATIVE THERAPY CENTER OF MARYLAND, LLC
NPI 1245795103
Psychologist in Baltimore, MD

Active since February 05, 2019
1501 SULGRAVE AVE STE 205, BALTIMORE, MD 21209(414) 213-9636 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Therapy Center Of Maryland, Llc NPPES

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

INTEGRATIVE THERAPY CENTER OF MARYLAND, LLC (NPI 1245795103) is a healthcare organization registered as a psychologist in Baltimore, Maryland and active in the NPI registry since February 2019. The organization lists Moshe Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1245795103
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameINTEGRATIVE THERAPY CENTER OF MARYLAND, LLC
Location Address1501 SULGRAVE AVE STE 205Baltimore, MD 21209-3650
Mailing Address2810 Hanson AveBaltimore, MD 21209-3912
Organization SubpartNo
Authorized OfficialMoshe MillerOwner · (414) 213-9636
Enumeration DateFebruary 5, 2019
NPI 1245795103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
1501 SULGRAVE AVE STE 205, Baltimore, MD 21209

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
1501 SULGRAVE AVE STE 205
BALTIMORE, MD 21209
Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE STE 205
BALTIMORE, MD 21209
Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE STE 205
BALTIMORE, MD 21209

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 Integrative Therapy Center Of Maryland, LLC's NPI number?

The NPI number for Integrative Therapy Center Of Maryland, LLC is 1245795103. It was assigned to this organization in the NPPES registry on February 5, 2019.

Where is Integrative Therapy Center Of Maryland, LLC located?

Integrative Therapy Center Of Maryland, LLC is located at 1501 Sulgrave Ave Ste 205, Baltimore, MD 21209. The listed phone number is (414) 213-9636.

What is Integrative Therapy Center Of Maryland, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Integrative Therapy Center Of Maryland, LLC was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.