Individual provider Active NPI

Rukhsana Mansoor Chaudhry Jewayni, PSY.D.

  • Psychologist
  • Chevy Chase, MD
National Provider Identifier
1003172693
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0513 Issued in MD
Practice address
5480 Wisconsin Ave Ste 223
Chevy Chase, MD 20815-3503
Phone
(301) 246-2042
NPI assigned
Apr 8, 2012
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1000753 DC
Psychologist 103T00000X NU
Psychologist 103T00000X 0513 MD Primary

Addresses

Primary practice location

5480 Wisconsin Ave Ste 223
Chevy Chase, MD 20815-3503

Mailing address

5480 Wisconsin Ave Ste 223
Chevy Chase, MD 20815-3503
Phone (301) 246-2042

Other names 1

  • Dr. Rukhsana Chaudhry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1000753DCMDPsychologist
0513MDMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1003172693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 223",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153503",
            "telephone_number": "301-246-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 223",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153503",
            "telephone_number": "301-246-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY JEWAYNI",
        "first_name": "RUKHSANA",
        "middle_name": "MANSOOR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-08",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1000753",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "0513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUKHSANA",
            "last_name": "CHAUDHRY",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.