Active NPI
Krishtine Rosenthal, PH.D.
- Clinical Psychologist
- Rockville, MD
National Provider Identifier
1013441880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06043
- Practice address
- 50 W Montgomery Ave Ste 110
Rockville, MD 20850-4248 - Phone
- (301) 610-7850
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 06043 | MD | Primary |
| Clinical Psychologist | 103TC0700X | PSY1001575 | DC |
Addresses
Primary practice location
50 W Montgomery Ave Ste 110
Rockville, MD 20850-4248
Mailing address
50 W Montgomery Ave Ste 110
Rockville, MD 20850-4248
Other practice location 1
825 Fairfax Ave
Suite 710
Norfolk, VA 23507-1914
Phone (757) 446-5881
Other practice location 2
Kennedy Krieger Institute
9730 Patuxent Woods Dr
Columbia, MD 21046
Phone (443) 923-9200
Other practice location 3
935 Redgate Ave
Norfolk, VA 23507-1517
Phone (757) 668-6123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 23, 2025 through Sep 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001575 | DC | MD | Clinical Psychologist |
| 06043 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1013441880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W MONTGOMERY AVE STE 110",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W MONTGOMERY AVE STE 110",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504248",
"telephone_number": "301-610-7850"
}
],
"practiceLocations": [
{
"address_1": "825 Fairfax Ave",
"address_2": "Suite 710",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071914",
"country_code": "US",
"telephone_number": "757-446-5881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Kennedy Krieger Institute",
"address_2": "9730 Patuxent Woods Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "21046",
"country_code": "US",
"telephone_number": "443-923-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "935 Redgate Ave",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071517",
"country_code": "US",
"telephone_number": "757-668-6123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "KRISHTINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2020-10-20",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06043",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.