Minu Arianne Aghevli, PH.D.
Individual provider Active NPI Clinical Psychologist · Baltimore, MD
NPI 1831295393 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831295393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 659331 (MD)
- Practice address
- 10 N Greene St
Baltimore V.a. Hospital, MHSL 6B-143
Baltimore, MD 21201-1524 - Phone
- (410) 605-7000
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 659331 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 659331 | MD | Yes |
Addresses
Primary practice location
10 N Greene St
Baltimore V.a. Hospital, MHSL 6B-143
Baltimore, MD 21201-1524
Mailing address
2834 E Baltimore St
Baltimore, MD 21224-1254
Phone (410) 605-7000
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All providers in Baltimore, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.