Individual provider · Type 1 NPI
Charles Michael Citrenbaum, PhD
Health Service Psychologist · Baltimore, MD
Practice location
2 Hamill Rd., Suite 322
Baltimore, MD 21210-1813
Fax (410) 433-6565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 897 (MD) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 897 (MD) |
| Clinical Psychologist | 103TC0700X | 897 (MD) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 897 (MD) |
| Exercise & Sports Psychologist | 103TE1100X | 897 (MD) |
| Family Psychologist | 103TF0000X | 897 (MD) |
| Forensic Psychologist | 103TF0200X | 897 (MD) |
| Health Service Psychologist Primary | 103TH0100X | 897 (MD) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1639297682
Charles Michael Citrenbaum, PhD's National Provider Identifier is 1639297682, issued on Mar 27, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Baltimore, MD. The record was last updated on Sep 11, 2025.