Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Bliss, PHD

Individual provider Clinical Psychologist · NPI 1851428460

Ethan Bliss, PHD is a Clinical Psychologist in Frederick, Maryland. Qualified in 2009, 17 years ago. Practices with The Center for Integrative Healthcare, LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Indiana and Maryland.

Years since qualifying
17
Licensed in
FL, IN, MD
In the registry since
2007
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

340 Park Ave
Frederick, MD 21701-4931
Phone: (301) 663-1683
Fax: (301) 663-3792
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 04888 (MD)
Psychologist Taxonomy 103T00000X · Licence 20042437A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 39001937A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH 7447 (FL)

Record details

NPI number1851428460
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESNovember 22, 2010
Mailing address121 Manda Dr, Middletown, MD 21769-7853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice The Center For Integrative Healthcare, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Frederick