Individual provider Active NPI

Fonya Helm, PH.D.

  • Clinical Psychologist
  • Cabin John, MD
National Provider Identifier
1083831218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1008 Issued in MD
Practice address
8000 Riverside Ave
Cabin John, MD 20818-1627
Phone
(301) 229-9120
Fax
(310) 229-7239
NPI assigned
Apr 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1008 MD Primary
Clinical Psychologist 103TC0700X 755 DC
Clinical Psychologist 103TC0700X 002446 VA

Addresses

Primary practice location

8000 Riverside Ave
Cabin John, MD 20818-1627

Mailing address

8000 Riverside Ave
Cabin John, MD 20818-1627
Phone (301) 229-9120

Other identifiers 1

IdentifierTypeStateIssuer
1GG93OtherMDBLUECROSSBLUESHIELD

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
755DCMDClinical Psychologist
1008MDMDClinical Psychologist
002446VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fonya Lord Helm, PH.D., P.C, Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083831218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RIVERSIDE AVE",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181627",
            "telephone_number": "301-229-9120",
            "fax_number": "310-229-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RIVERSIDE AVE",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181627",
            "telephone_number": "301-229-9120",
            "fax_number": "310-229-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "FONYA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "1008",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "755",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "002446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "1GG93",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabin John, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.