Active NPI
Dorcia J Tucker, PSYD
- Psychologist
- Elkridge, MD
National Provider Identifier
1013191113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06558
- Practice address
- 7175 Troy Hill Dr
Elkridge, MD 21075-7049 - Phone
- (443) 598-2955
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8441 | FL | |
| Psychologist | 103T00000X | 06558 | MD | Primary |
Addresses
Primary practice location
7175 Troy Hill Dr
Elkridge, MD 21075-7049
Mailing address
PO Box 785
Annapolis, MD 21404-0785
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8441 | FL | MD | Psychologist |
| 06558 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1013191113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214040785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7175 TROY HILL DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210757049",
"telephone_number": "443-598-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DORCIA",
"middle_name": "J",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8441",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.