Active NPI
Aryeh Leib Kanal, PSYD
- Psychologist
- Rockville, MD
National Provider Identifier
1053874529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05758
- Practice address
- 9707 Key West Ave Ste 100
Rockville, MD 20850-3992 - Phone
- (240) 750-6467
- NPI assigned
- Apr 10, 2019
- 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 | 05758 | MD | Primary |
Addresses
Primary practice location
9707 Key West Ave Ste 100
Rockville, MD 20850-3992
Mailing address
113 Claybrook Dr
Silver Spring, MD 20902-3114
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05758 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis the Mental Health Center, LLC | Past | Accepting new patients | |
| Quince Orchard Psychotherapy 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Glen Burnie, MD
- NPI 1174606057
-
- Clinical Social Worker
- Nottingham, MD
- NPI 1619895844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1053874529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CLAYBROOK DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 KEY WEST AVE STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503992",
"telephone_number": "240-750-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAL",
"first_name": "ARYEH",
"middle_name": "LEIB",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05758",
"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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.