Active NPI
Beatrice Ann Gerry, PHD
- Psychologist
- Eldersburg, MD
National Provider Identifier
1104838150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2575
- Practice address
- 1380 Progress Way
Suite 101
Eldersburg, MD 21784-6464 - Phone
- (410) 549-5181
- Fax
- (410) 549-5182
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2575 | MD | Primary |
Addresses
Primary practice location
1380 Progress Way
Suite 101
Eldersburg, MD 21784-6464
Mailing address
1380 Progress Way
Suite 101
Eldersburg, MD 21784-6464
Phone (410) 549-5181
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 |
|---|---|---|---|
| 2575 | MD | MD | Psychologist |
| 02575 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104838150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 PROGRESS WAY",
"address_2": "SUITE 101",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846464",
"telephone_number": "410-549-5181",
"fax_number": "410-549-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 PROGRESS WAY",
"address_2": "SUITE 101",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846464",
"telephone_number": "410-549-5181",
"fax_number": "410-549-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRY",
"first_name": "BEATRICE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "2575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, 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.