NPIMap

Organization Active NPI

Zen Psychological Center

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1093477309
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ZEN PSYCHOLOGICAL CENTER
Doing business as
Zen Psychological Center
Practice address
11 Byte CT Ste C
Frederick, MD 21702-8718
Phone
(240) 457-9194
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Brittany Goff, LCSW-CNPI 1164988150
Title
Owner
Phone
(240) 687-8507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11 Byte CT Ste C
Frederick, MD 21702-8718

Mailing address

11 Byte CT Ste C
Frederick, MD 21702-8718
Phone (301) 246-0206

Other practice location 1

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (240) 457-9194

Other practice location 2

15245 Shady Grove Rd Ste 315
Rockville, MD 20850-6208
Phone (240) 457-9194

Other names 1

  • Zen Psychological Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1093477309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BYTE CT STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028718",
            "telephone_number": "301-246-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BYTE CT STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028718",
            "telephone_number": "240-457-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Buckeystown Pike Ste 250",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048344",
            "country_code": "US",
            "telephone_number": "240-457-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15245 Shady Grove Rd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506208",
            "country_code": "US",
            "telephone_number": "240-457-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZEN PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-687-8507",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zen Psychological Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zen Psychological Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.