Active NPI
Donald L Oberg, PH.D
- Psychologist
- University Park, MD
National Provider Identifier
1013960889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3013
- Practice address
- 6713 44TH Ave
University Park, MD 20782-1106 - Phone
- (301) 220-0707
- Fax
- (301) 699-1912
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3013 | MD | Primary |
Addresses
Primary practice location
6713 44TH Ave
University Park, MD 20782-1106
Mailing address
6713 44TH Ave
University Park, MD 20782-1106
Phone (301) 220-0707
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Med Behavioral Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1497719272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013960889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6713 44TH AVE",
"city": "UNIVERSITY PARK",
"state": "MD",
"postal_code": "207821106",
"telephone_number": "301-220-0707",
"fax_number": "301-699-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6713 44TH AVE",
"city": "UNIVERSITY PARK",
"state": "MD",
"postal_code": "207821106",
"telephone_number": "301-220-0707",
"fax_number": "301-699-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERG",
"first_name": "DONALD",
"middle_name": "L",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "3013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.