New Beginnings Wellness Center, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

05441 Issued in MD

Legal business name

NEW BEGINNINGS WELLNESS CENTER, LLC

Practice address

10410 Kensington Pkwy
Suite 104
Kensington, MD 20895-2943

Phone

(202) 903-4269

Fax

(202) 509-9050

NPI assigned

May 26, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sonya Clyburn, PSY.D.

Title

Ceo, Clinical Director

Phone

(202) 903-4269

Specialties & licenses 1

Addresses

Other names 1

• NBWC, LLC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1003264342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY",
            "address_2": "SUITE 104",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952943",
            "telephone_number": "202-903-4269",
            "fax_number": "202-509-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY",
            "address_2": "SUITE 104",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952943",
            "telephone_number": "202-903-4269",
            "fax_number": "202-509-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "CLYBURN",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "202-903-4269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NBWC, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Kensington, MD
• Providers in Kensington, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.