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

Q: What is Individualized Psychological Services's specialty?

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

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: October 18, 2026.

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

On this page

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

Phone(410) 999-8060

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

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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)

Individualized Psychological Services 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 Individualized Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yaakov Shugarman, PSY.D.

Clinical Psychologist

NPI 1023594017

5603 NEWBURY ST
Baltimore, MD 21209

(410) 999-8060

✔ PECOS✔ Accepts MedicareSame 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 Individualized Psychological Services's NPI number?

The NPI number for Individualized Psychological Services is 1891260006. It was assigned to this organization in the NPPES registry on October 4, 2018.

Where is Individualized Psychological Services located?

Individualized Psychological Services is located at 5603 Newbury St, Baltimore, MD 21209. The listed phone number is (410) 999-8060.

What is Individualized Psychological Services's specialty?

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

Is Individualized Psychological Services enrolled in Medicare?

Yes. Individualized Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Individualized Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Individualized Psychological Services. 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 Individualized Psychological Services was last updated on July 16, 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.