Active NPI
Heather Rose Loffredo, PSYD
- Clinical Child & Adolescent Psychologist
- Rockville, MD
National Provider Identifier
1023374816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 04889
- Practice address
- 1 Research CT Ste 450
Rockville, MD 20850-6252 - Phone
- (240) 403-4040
- NPI assigned
- Apr 5, 2012
- Last updated
- Jan 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04889 | MD | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Ford MD PA | Past | Accepting new patients | |
| Alvord Baker & Associates LLC | Past | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Rockville, MD
- NPI 1316090673
-
- Medical Specialty Clinic/Center
- Silver Spring, MD
- NPI 1306177316
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.