Shouh-Rong Vivian Tsai, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05117 Issued in MD

Practice address

5301 Buckeystown Pike Ste 440
Frederick, MD 21704-8319

Phone

(240) 651-3890

Fax

(240) 815-6015

NPI assigned

May 6, 2013

Last updated

Mar 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peaceful Mind Psychotherapy LLC

  dba Peaceful Mind Healing

  • Clinical Psychologist
  • Frederick, MD
  • NPI 1023513371
  Medicare reassignment NPD Authorized official
• Coquus

  dba Vance Mental Health Services

  • Psychologist
  • Waldorf, MD
  • NPI 1205079746
  NPD (past)

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1053756908",
    "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": "217048319",
            "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": "217048319",
            "telephone_number": "240-651-3890",
            "fax_number": "240-815-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "SHOUH-RONG",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Truong, PHARM.D.
• Trusted Doctors LLC
• Trusted Doctors LLC
• Trusted Doctors, LLC
• Trusted Doctors, LLC
• Tse Shiung Wu MD PA
• Tse Shiung Wu, M.D.,P.a.
• Christina Tseng, LGMFT
• Caitlin Tucker
• Cecil Tucker

• 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 Mar 28, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.