Healthcare Provider Details

I. General information

NPI: 1164214318
Provider Name (Legal Business Name): HOPE PSYCH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 OLD COURT RD
PIKESVILLE MD
21208-3826
US

IV. Provider business mailing address

2624 DAPPLE GREY CT
OLNEY MD
20832-2714
US

V. Phone/Fax

Practice location:
  • Phone: 877-295-3747
  • Fax:
Mailing address:
  • Phone: 410-980-2089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBINA NIAZI
Title or Position: OWNER
Credential: MD
Phone: 410-980-2089