NPIMap

Organization Active NPI

MNK Rehabilitation & Psychological Services, Inc.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1689931594
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03960 Issued in MD
Legal business name
MNK REHABILITATION & PSYCHOLOGICAL SERVICES, INC.
Practice address
2305 Elsinore Ave
Baltimore, MD 21216-2119
Phone
(410) 707-2396
Fax
(410) 884-2897
NPI assigned
Apr 16, 2012
Last updated
Apr 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Murugi Wa Mungai-Kamau, PH.D.
Title
Presiden
Phone
(410) 707-2396

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCA1596 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA1596 MD
Mental Health Counselor 101YM0800X LCA1596 MD
Professional Counselor 101YP2500X LCA1596 MD
Psychologist 103T00000X 03960 MD Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 03960 MD
Adult Development & Aging Psychologist 103TA0700X 04777 MD
Cognitive & Behavioral Psychologist 103TB0200X 0390 MD
Clinical Psychologist 103TC0700X 04777 MD
Counseling Psychologist 103TC1900X 04777 MD
Clinical Child & Adolescent Psychologist 103TC2200X 04777 MD
Family Psychologist 103TF0000X 04777 MD
Group Psychotherapy Psychologist 103TP2701X 04777 MD
Marriage & Family Therapist 106H00000X 04777 MD
Behavior Analyst 103K00000X 03 MD

Addresses

Primary practice location

2305 Elsinore Ave
Baltimore, MD 21216-2119

Mailing address

2305 Elsinore Ave
Baltimore, MD 21216-2119
Phone (410) 707-2396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1689931594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 ELSINORE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162119",
            "telephone_number": "410-707-2396",
            "fax_number": "410-884-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 ELSINORE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162119",
            "telephone_number": "410-707-2396",
            "fax_number": "410-884-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNK REHABILITATION & PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "MUNGAI-KAMAU",
        "authorized_official_first_name": "MURUGI",
        "authorized_official_middle_name": "WA",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "410-707-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LCA1596",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA1596",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCA1596",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCA1596",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03960",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "03960",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "0390",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "04777",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "03",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.