Individual provider Active NPI

Jennifer L. McCartney, PSY.D.

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1083796338
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05114 Issued in MD
Practice address
8720 Georgia Ave
Suite 205
Silver Spring, MD 20910-3638
Phone
(617) 429-5720
Fax
(301) 495-6394
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05114 MD Primary
Clinical Psychologist 103TC0700X PSY1000789 DC

Addresses

Primary practice location

8720 Georgia Ave
Suite 205
Silver Spring, MD 20910-3638

Mailing address

8720 Georgia Ave
Suite 205
Silver Spring, MD 20910-3638
Phone (617) 429-5720

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
I20121112000054 DC Practitioner - Clinical Psychologist 1759420219 Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8720 Georgia Ave
Suite 205
Silver Spring, MD 20910-3614
Phone (617) 429-5720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05114MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1083796338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "617-429-5720",
            "fax_number": "301-495-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "617-429-5720",
            "fax_number": "301-495-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05114",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.