NPIMap

Organization Active NPI

New Beginnings Wellness Center, LLC

  • Psychologist
  • Kensington, MD
National Provider Identifier
1003264342
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Dr. Sonya Clyburn, PSY.D.NPI 1700278900
Title
Ceo, Clinical Director
Phone
(202) 903-4269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 05441 MD Primary

Addresses

Primary practice location

10410 Kensington Pkwy
Suite 104
Kensington, MD 20895-2943

Mailing address

10410 Kensington Pkwy
Suite 104
Kensington, MD 20895-2943
Phone (202) 903-4269

Other names 1

  • NBWC, LLC Other name

National Provider Directory

National Provider Directory

Locations

10410 Kensington Pkwy
Ste 104
Kensington, MD 20895
Phone (202) 903-4269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • 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.