Active NPI
Maria Jose Rendon, PH.D.
- Counseling Psychologist
- Potomac, MD
National Provider Identifier
1023556065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY9794
- Practice address
- 12712 Deep Spring Dr
Potomac, MD 20854-2355 - Phone
- (786) 281-4742
- NPI assigned
- Feb 10, 2017
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY9794 | FL | Primary |
Addresses
Primary practice location
12712 Deep Spring Dr
Potomac, MD 20854-2355
Mailing address
402 King Farm Boulevard
Suite 125, #1102
Rockville, MD 20850-2355
Phone (240) 200-0842
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 |
|---|---|---|---|
| 06138 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1023556065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 KING FARM BOULEVARD",
"address_2": "SUITE 125, #1102",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502355",
"telephone_number": "240-200-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12712 DEEP SPRING DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542355",
"telephone_number": "786-281-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "MARIA",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY9794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.