Individual provider Active NPI

Jacqueline Horwitz Sanz, PH.D.

  • Psychologist
  • Rockville, MD
National Provider Identifier
1073752432
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04862 Issued in MD
Practice address
15245 Shady Grove Rd Ste 350
Rockville, MD 20850-6237
Phone
(202) 476-5506
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04862 MD Primary
Psychologist 103T00000X PSY1000658 DC

Addresses

Primary practice location

15245 Shady Grove Rd Ste 350
Rockville, MD 20850-6237

Mailing address

15245 Shady Grove Rd Ste 350
Rockville, MD 20850-6237
Phone (202) 476-5506

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
I20110516000175 DC Practitioner - Clinical Psychologist 9436335189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Aug 20, 2011 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Aug 20, 2011 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

15245 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (202) 476-5506

Organizations & group practices 3

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1073752432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506237",
            "telephone_number": "202-476-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506237",
            "telephone_number": "202-476-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANZ",
        "first_name": "JACQUELINE",
        "middle_name": "HORWITZ",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04862",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1000658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.