Organization Active NPI

The Body Mind Center, LLC

  • Group Psychotherapy Psychologist
  • Ellicott City, MD
National Provider Identifier
1609349976
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
THE BODY MIND CENTER, LLC
Practice address
3545 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4591
Phone
(410) 530-9538
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Darla Sinclair, LCSW-CNPI 1346512498
Title
Owner
Phone
(410) 530-9538

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
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

3545 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4591

Mailing address

14 Ramsgate CT
Baltimore, MD 21227-3847
Phone (410) 530-9538

Other identifiers 1

IdentifierTypeStateIssuer
1346512498OtherNPPES

Other names 1

  • Darla Sinclair, LCSW-C Psychotherapy Services, LLC Former legal business name

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1609349976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RAMSGATE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273847",
            "telephone_number": "410-530-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434591",
            "telephone_number": "410-530-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY MIND CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-530-9538",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1346512498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darla Sinclair, LCSW-C Psychotherapy Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.