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Contact Information

ACTIVE PSYCHOLOGY AND WELLNESS
1750 MONOCACY BLVD STE A
FREDERICK, MD21701-5151
 Phone: 914-261-9295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ACTIVE PSYCHOLOGY AND WELLNESS

NPI Number 1174484844
LBN Legal business name ACTIVE PSYCHOLOGY AND WELLNESS
Authorized official AARON BANAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2025
Last updated 11/20/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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