Healthcare Provider Details

I. General information

NPI: 1407713035
Provider Name (Legal Business Name): NEW FOUNDATIONS PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13708 CANAL VISTA CT
POTOMAC MD
20854-1024
US

IV. Provider business mailing address

13708 CANAL VISTA CT
POTOMAC MD
20854-1024
US

V. Phone/Fax

Practice location:
  • Phone: 301-806-2543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NAZLI FOULADI
Title or Position: OWNER
Credential:
Phone: 301-806-2543