The Center for Trauma, Stress, and Anxiety, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05664 Issued in MD

Legal business name

THE CENTER FOR TRAUMA, STRESS, AND ANXIETY, LLC

Practice address

260 Gateway Dr Ste 11-12a
Bel Air, MD 21014-4268

Phone

(410) 870-9388

NPI assigned

May 4, 2016

Last updated

May 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Coombs, PHDNPI 1578924940

Title

Owner

Phone

(845) 797-1299

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Coombs, PHD

  • Clinical Psychologist
  • Bel Air, MD
  • NPI 1578924940
  NPD (past) Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1417302886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MARKHAM CT APT E",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146943",
            "telephone_number": "845-797-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 11-12A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "410-870-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR TRAUMA, STRESS, AND ANXIETY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-797-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Calvert Harris Foundation Inc
• The Care Group at Safe Harbor
• The Care Group at Safe Harbor
• The Care Group at Safe Harbor, LLC
• The Caring Connection, Inc
• The Eagles Nest Family and Children Services LLC
• The Endoscopy Center at Bel Air LLC
• The Grab Bar, LLC (The Grab Bar)
• The Great Atlantic and Pacific Tea Company Inc (Super Fresh Pharmacy)
• The Maryland Therapy Network, Inc

• Clinical Psychologist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.