Individual provider Active NPI

Jessica Nicole Stillman, PSY.D.

  • Clinical Neuropsychologist
  • Silver Spring, MD
National Provider Identifier
1053975797
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810006163 Issued in VA
Practice address
10750 Columbia Pike Ste 600
Silver Spring, MD 20901-4459
Phone
(301) 562-7200
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810006163 VA Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 600
Silver Spring, MD 20901-4459

Mailing address

8555 16TH St Ste 310
Silver Spring, MD 20910-2802
Phone (301) 562-7200

Other practice location 1

2021 K St NW
Washington, DC 20006-1003
Phone (301) 562-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002078 DC Practitioner - Clinical Psychologist 0749517324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neurology CenterGroup PAC ID 9739162942, 28 clinicians

Practice addresses (Care Compare)

10750 Columbia Pike
Suite 600
Silver Spring, MD 20901-4459
Phone (301) 563-7198

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
86.76
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Center CurrentSince Sep 1, 2019 Accepting new patients

Locations

2021 K St NW
Washington, DC 20006
Phone (202) 466-8118

5454 Wisconsin Ave
Ste 1720
Chevy Chase, MD 20815

10750 Columbia Pike
Ste 600
Silver Spring, MD 20901
Phone (301) 563-7198

8555 16th St
Ste 310
Silver Spring, MD 20910
Phone (301) 563-7198

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23649/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.stillman.1@23649.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1053975797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102802",
            "telephone_number": "301-562-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 600",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014459",
            "telephone_number": "301-562-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 K St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061003",
            "country_code": "US",
            "telephone_number": "301-562-7200",
            "fax_number": "202-429-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.