Active NPI
Carlyanne Phipps Rohde, PSYD
- Clinical Psychologist
- Gaithersburg, MD
National Provider Identifier
1083917686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04948
- Practice address
- 60 Market St
Suite 213
Gaithersburg, MD 20878-6548 - Phone
- (410) 430-1389
- Fax
- (240) 702-0262
- NPI assigned
- Dec 21, 2010
- Sex
- Female
- 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 Psychologist | 103TC0700X | 04948 | MD | Primary |
| Clinical Psychologist | 103TC0700X | PSY1000657 | DC |
Addresses
Primary practice location
60 Market St
Suite 213
Gaithersburg, MD 20878-6548
Mailing address
60 Market St
Suite 213
Gaithersburg, MD 20878-6548
Phone (410) 430-1389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000657 | DC | MD | Clinical Psychologist |
| 04948 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1083917686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MARKET ST",
"address_2": "SUITE 213",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208786548",
"telephone_number": "410-430-1389",
"fax_number": "240-702-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MARKET ST",
"address_2": "SUITE 213",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208786548",
"telephone_number": "410-430-1389",
"fax_number": "240-702-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "CARLYANNE",
"middle_name": "PHIPPS",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-21",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04948",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.