Active Psychology and Wellness
Organization Active NPI Clinical Psychologist · Frederick, MD
NPI 1174484844 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1174484844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ACTIVE PSYCHOLOGY AND WELLNESS
- Practice address
- 1750 Monocacy Blvd Ste a
Frederick, MD 21701-5151 - Phone
- (914) 261-9295
- NPI assigned
- Nov 20, 2025
- Organization subpart
- No
Authorized official
- Name
- Aaron Banas, PSYD
- Title
- Owner
- Phone
- (914) 261-9295
Practitioners 1
-
Aaron Josef Banas, PSYD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
1750 Monocacy Blvd Ste a
Frederick, MD 21701-5151
Mailing address
18934 Porterfield Way
Germantown, MD 20874-1877
Phone (914) 261-9295
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All providers in Frederick, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.