Active NPI
Kiu Amani Eubanks, PH.D
- Psychologist
- Cambridge, MA
National Provider Identifier
1043536709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05244
- Practice address
- 245 First St
Cambridge, MA 02142-1200 - Phone
- (443) 900-7329
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PSY10000379 | MA | |
| Psychologist | 103T00000X | 05244 | MD | Primary |
Addresses
Primary practice location
245 First St
Cambridge, MA 02142-1200
Mailing address
1339 Greenbriar Cir # 8
Pikesville, MD 21208-3750
Phone (443) 900-7329
Other practice location 1
1339 Greenbriar Cir
Baltimore, MD 21208-3750
Phone (443) 900-7329
Other practice location 2
707 Conservation Ln Ste 300
Gaithersburg, MD 20878-2983
Phone (443) 900-7329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5244 | MD | MD | Dentist |
| 4323 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GPS Clinical Solutions, LLC | Current | Accepting new patients | |
| Safe Harbor Christian Counseling LLC | Past | Accepting new patients |
Locations
9616 Reisterstown Rd
Ste 109
Owings Mills, MD 21117
Phone (443) 453-5045
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owings Mills, MD
- NPI 1396213088
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1245377894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1043536709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 GREENBRIAR CIR # 8",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212083750",
"telephone_number": "443-900-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FIRST ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421200",
"telephone_number": "443-900-7329"
}
],
"practiceLocations": [
{
"address_1": "1339 Greenbriar Cir",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212083750",
"country_code": "US",
"telephone_number": "443-900-7329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 Conservation Ln Ste 300",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208782983",
"country_code": "US",
"telephone_number": "443-900-7329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUBANKS",
"first_name": "KIU",
"middle_name": "AMANI",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MA",
"license": "PSY10000379",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.