Individual provider Active NPI

Kiu Amani Eubanks, PH.D

  • Psychologist
  • Cambridge, MA
National Provider Identifier
1043536709
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05244 Issued in MD
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5244MDMDDentist
4323NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Clinical Solutions, LLC Current Accepting new patients
Safe Harbor Christian Counseling LLC PastSince Aug 7, 2016 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.

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

Verify at the official NPI Registry.