Active NPI
Patrick Kenneth Love, PHD
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1083385694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYA200001241
- Practice address
- 4833 Bethesda Ave Ste 300
Bethesda, MD 20814-5244 - Phone
- (202) 540-9945
- NPI assigned
- Sep 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSYA200001241 | DC | |
| Clinical Psychologist | 103TC0700X | PSYA200001241 | DC | Primary |
Addresses
Primary practice location
4833 Bethesda Ave Ste 300
Bethesda, MD 20814-5244
Mailing address
4833 Bethesda Ave Ste 300
Bethesda, MD 20814-5244
Phone (703) 627-2267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSYA200001241 | Other | DC | WASHINGTON DC PSYCHOLOGICAL ASSOCIATE LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYA200001241 | DC | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642204800000",
"number": "1083385694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4833 BETHESDA AVE STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208145244",
"telephone_number": "703-627-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4833 BETHESDA AVE STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208145244",
"telephone_number": "202-540-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "PATRICK",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-23",
"last_updated": "2022-01-15",
"certification_date": "2022-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "DC",
"license": "PSYA200001241",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSYA200001241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DC PSYCHOLOGICAL ASSOCIATE LICENSE",
"identifier": "PSYA200001241",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.