Epic Minds Therapy MD LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EPIC MINDS THERAPY MD LLC

Practice address

6865 Deerpath Rd Ste 101
Elkridge, MD 21075-6255

Phone

(855) 995-3742

Fax

(743) 219-2148

NPI assigned

Apr 3, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Joel D Fried

Title

Ceo

Phone

(848) 226-0466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1306640784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756255",
            "telephone_number": "855-995-3742",
            "fax_number": "743-219-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756255",
            "telephone_number": "855-995-3742",
            "fax_number": "743-219-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC MINDS THERAPY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "848-226-0466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Physical Therapy
• Elkridge ASC LLC
• Elkridge Chiropractic Center P.C.
• Elkridge Family Dentistry
• Emmanuel Home Health Services, Inc.
• Evercare
• Evercare Hospice, Inc.
• Olusola Ewebiyi, APRN
• Pauline Eze, LCSW-C
• Victoria Ezeji

• Behavior Analyst in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.