MEDICARE: NEW PERSPECTIVES PSYCHOTHERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	03996	MD
2	103TC0700X	Clinical Psychologist	PSY1000202.R	DC
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	03996	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J465-0001	OTHER	MD	PSYCHOLOGIST
2	BCBS	OTHER	DC	J4650001
3	BCBS	OTHER	MD	631539-01

General Provider Information

NPI Number	:	1770694127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PERSPECTIVES PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	5627 ALLENTOWN RD SUITE 205
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746
Country	:	US
Telephone Number	:	301-899-1503
Fax Number	:	301-899-1504

Provider Business Practice Location Address
First Line	:	5627 ALLENTOWN RD SUITE 205
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746
Country	:	US
Telephone Number	:	301-899-1503
Fax Number	:	301-899-1504

Authorized Official
Title or Position	:	DIRECTOR LICENSEDCLINICAL PSYCHOLOG
Name	:	BARBARA QUINNEY TOBIAS-HOLTZ
Credential	:	PHD
Telephone Number	:	301-899-1503

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/19/2008

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Directions to “NEW PERSPECTIVES PSYCHOTHERAPY ” Practice Location

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