Provider Demographics
NPI:1750111928
Name:FIRE PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:FIRE PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:CERQUEIRA
Authorized Official - Last Name:FIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-825-8186
Mailing Address - Street 1:110 N WASHINGTON ST STE 300-21
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2277
Mailing Address - Country:US
Mailing Address - Phone:301-825-8186
Mailing Address - Fax:
Practice Address - Street 1:25 WOOD LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2228
Practice Address - Country:US
Practice Address - Phone:301-825-8186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-03
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty