Peaceful Mind Psychotherapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05117 Issued in MD

Legal business name

PEACEFUL MIND PSYCHOTHERAPY LLC

Doing business as

Peaceful Mind Healing

Practice address

5301 Buckeystown Pike Ste 440
Frederick, MD 21704-8370

Phone

(240) 651-3890

Fax

(240) 815-6015

NPI assigned

Mar 28, 2018

Last updated

Sep 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shouh-Rong Vivian Tsai, PSY.D.NPI 1053756908

Title

Owner

Phone

(240) 651-3890

Specialties & licenses 1

Addresses

Other names 1

• Peaceful Mind Healing Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Shouh-Rong Vivian Tsai, PSY.D.

  • Clinical Psychologist
  • Frederick, MD
  • NPI 1053756908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599868800000",
    "number": "1023513371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 440",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048370",
            "telephone_number": "240-651-3890",
            "fax_number": "240-815-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 440",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048370",
            "telephone_number": "240-651-3890",
            "fax_number": "240-815-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MIND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "SHOUH-RONG",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-651-3890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Mind Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kassandra A Payes
• James C Payne, PHARMD
• Doreen L Paynter, CRNP
• Peace of Mind Therapeutic Services & Solutions LLC
• Peaceful Mental Health LLC
• Stephen Peach
• Peak Acupuncture and Wellness, LLC
• Rose Marene Pearl, N.P.
• Pearle Vision Inc (Pearle Vision #C6298)
• Devon Olivia Pearrell, LMSW

• Clinical Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.