Maria Drvoshanov, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PA018535 Issued in PA

Practice address

1518 Walnut St Ste 607
Philadelphia, PA 19102-3404

Phone

(571) 606-9076

NPI assigned

Jan 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urban Village Therapy LLC

  • Psychologist
  • Chevy Chase, MD
  • NPI 1477311595
  NPD Authorized official

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1003380395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CHERRY ST APT 707",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072469",
            "telephone_number": "571-606-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 607",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023404",
            "telephone_number": "571-606-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRVOSHANOV",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PA018535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Lee Drummond, MD
• Paige Drummond
• Patrick Drummond, RRT
• Sonja Nicole Drummond
• Jacquie Drury, LPCC
• Staci Drybala, OTR
• Gale Dryden, OTR/L
• Michael A Dryslewski Jr., PHARMD
• Deborah L Drzik, PT
• DS Auto Imports LLC

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.