Individual provider Active NPI

Heather Rose Loffredo, PSYD

  • Clinical Child & Adolescent Psychologist
  • Rockville, MD
National Provider Identifier
1023374816
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
04889 Issued in MD
Practice address
1 Research CT Ste 450
Rockville, MD 20850-6252
Phone
(240) 403-4040
NPI assigned
Apr 5, 2012
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 04889 MD Primary

Addresses

Primary practice location

1 Research CT Ste 450
Rockville, MD 20850-6252

Mailing address

1 Research CT Ste 450
Rockville, MD 20850-6252
Phone (240) 403-4040

Other practice location 1

3200 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4265
Phone (301) 593-6554 ext. 19

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 3, 2014 through Sep 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04889MDMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Ford MD PA Past Accepting new patients
Alvord Baker & Associates LLC PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1023374816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH CT STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506252",
            "telephone_number": "240-403-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESEARCH CT STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506252",
            "telephone_number": "240-403-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Tower Oaks Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524265",
            "country_code": "US",
            "telephone_number": "301-593-6554 x19",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFFREDO",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "04889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.