Organization Active NPI

De-Stress Psychological Services, LLC

  • Clinical Psychologist
  • Arnold, MD
National Provider Identifier
1417762808
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DE-STRESS PSYCHOLOGICAL SERVICES, LLC
Practice address
1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone
(410) 260-0160
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Holly Hiltner-Fullmer, PSY.D.NPI 1356777106
Title
Sole Owner - Single/Sole Member LLC
Phone
(410) 260-0160

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815

Mailing address

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone (410) 260-0160

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1417762808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-260-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-260-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE-STRESS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "HILTNER-FULLMER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SOLE OWNER - SINGLE/SOLE MEMBER LLC",
        "authorized_official_telephone_number": "410-260-0160",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.