NPI 1285163378 · live from the CMS NPI Registry
Komila Dadakhodjaeva Brennan, PhD
Psychologist, Clinical in Baltimore, MD. National Provider Identifier 1285163378, active.
NPI record
| NPI | 1285163378 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 720 Aliceanna St, Baltimore, MD 21202 |
| Practice phone | 443-923-7500 |
| Mailing address | 650 Pennsylvania Ave Se, Washington, DC 20003 |
| Enumerated | June 12, 2017 |
| Last updated | May 7, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychologist, Clinical primary | 103TC0700X | 06048 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.