INDIVIDUALIZED PSYCHOLOGICAL SERVICES
NPI 1891260006
Psychologist - Clinical in Baltimore, MD

Active since October 04, 2018
5603 NEWBURY ST, BALTIMORE, MD 21209(410) 999-8060(410) 787-5454 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2020, Oct 4, 2018 (2 updates tracked since 2018).

About Individualized Psychological Services NPPES

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

INDIVIDUALIZED PSYCHOLOGICAL SERVICES (NPI 1891260006) is a healthcare organization registered as a clinical in Baltimore, Maryland and active in the NPI registry since October 2018. The organization lists Yaakov Shugarman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891260006
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameINDIVIDUALIZED PSYCHOLOGICAL SERVICES
Location Address5603 NEWBURY STBaltimore, MD 21209-3603
Mailing Address5603 Newbury StBaltimore, MD 21209-3603 · (410) 999-8060 · Fax (410) 787-5454
Fax(410) 787-5454
Organization SubpartNo
Authorized OfficialYaakov ShugarmanOwner · (410) 999-8060
Enumeration DateOctober 4, 2018
Last NPPES UpdateJuly 16, 20202 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
NPI 1891260006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

5603 NEWBURY ST, Baltimore, MD 21209

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

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
5603 NEWBURY ST
BALTIMORE, MD 21209
General Practice
5603 NEWBURY ST
BALTIMORE, MD 21209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891260006, enumerated as an "organization" on October 04, 2018.

The provider is located at 5603 NEWBURY ST BALTIMORE, MD 21209 and the phone number is (410) 999-8060.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.