Ezar Psychology, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EZAR PSYCHOLOGY, LLC

Practice address

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679

Phone

(301) 276-5468

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shin Ock, PHDNPI 1528568821

Title

Founder

Phone

(301) 276-5468

Specialties & licenses 1

Addresses

Other names 1

• SHIN OCK, PHD Doing business as

Practitioners 1

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

• Shin Ock, PHD

  • Clinical Psychologist
  • Kensington, MD
  • NPI 1528568821
  NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1093496747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 GRAND PARK AVE STE 500",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 GRAND PARK AVE STE 500",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528679",
            "telephone_number": "301-276-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZAR PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "OCK",
        "authorized_official_first_name": "SHIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-276-5468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIN OCK, PHD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHIN OCK, PHD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.