Organization · Type 2 NPI

Active Psychology and Wellness

Clinical Psychologist · Frederick, MD

NPI number 1174484844 Active

Practice location

1750 Monocacy Blvd Ste A
Frederick, MD 21701-5151

Mailing address

18934 Porterfield Way
Germantown, MD 20874-1877

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1174484844

Active Psychology and Wellness's National Provider Identifier is 1174484844, issued on Nov 20, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Frederick, MD. The record was last updated on Nov 20, 2025.