Active NPI
Marc Andrew Nemiroff, PH.D.
- Family Psychologist
- Potomac, MD
National Provider Identifier
1053539924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 00972
- Practice address
- 8513 Aqueduct Rd
Potomac, MD 20854-6209 - Phone
- (301) 294-0032
- Fax
- (301) 294-1162
- NPI assigned
- Apr 23, 2007
- Last updated
- Sep 11, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00972 | MD | |
| Clinical Psychologist | 103TC0700X | 000972 | MD | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 00972 | MD | |
| Family Psychologist | 103TF0000X | 00972 | MD | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | 00972 | MD |
Addresses
Primary practice location
8513 Aqueduct Rd
Potomac, MD 20854-6209
Mailing address
8513 Aqueduct Rd
Potomac, MD 20854-6209
Phone (301) 294-0032
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810000767 | Other | VA | 0810000767 |
| PSY812 | Other | DC | 812 |
| 00972 | Other | MD | 972 |
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 Oct 1, 2014 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000972 | MD | MD | Clinical Psychologist |
| 00972 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1053539924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8513 AQUEDUCT RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546209",
"telephone_number": "301-294-0032",
"fax_number": "301-294-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8513 AQUEDUCT RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546209",
"telephone_number": "301-294-0032",
"fax_number": "301-294-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMIROFF",
"first_name": "MARC",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "00972",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "000972",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "00972",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MD",
"license": "00972",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MD",
"license": "00972",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0810000767",
"identifier": "0810000767",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "812",
"identifier": "PSY812",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "972",
"identifier": "00972",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
- Carol Bergmann Napoli
- National Capital Foot & Ankle Center, PC
- National Capital Foot & Ankle Center, PC (National Capital Foot & Ankle)
- National Rehabilitatin Hospital, Inc. (MedStar Health Physical Therapy at Potomac)
- Edna Nemeth, D.M.D.
- Frank W Neuberger, M.D.
- Neuromonitoring Physicians, LLC
- Neuroplacid Psychotherapy Inc.
- New Foundations Psychological Services LLC
- Tom-Thong Q Nguyen, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.