Individual provider Active NPI

Geeta S Sarphare, PHD

  • Clinical Child & Adolescent Psychologist
  • Burtonsville, MD
National Provider Identifier
1104945070
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
03945 Issued in MD
Practice address
3905 National Dr Ste 230
Burtonsville, MD 20866-6101
Phone
(301) 256-5243
Fax
(443) 923-3872
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 03945 MD
Behavior Analyst 103K00000X LBA1750 MD
Cognitive & Behavioral Psychologist 103TB0200X 03945 MD
Intellectual & Developmental Disabilities Psychologist 103TM1800X 03945 MD
Clinical Child & Adolescent Psychologist 103TC2200X 03945 MD Primary

Addresses

Primary practice location

3905 National Dr Ste 230
Burtonsville, MD 20866-6101

Mailing address

3905 National Dr Ste 230
Burtonsville, MD 20866-6101
Phone (301) 256-5243

Other identifiers 1

IdentifierTypeStateIssuer
780063MedicaidMD

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
I20140709000873 DC Practitioner - Clinical Psychologist 9931324803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3905 National Dr
Suite 360
Burtonsville, MD 20866-6120
Phone (240) 650-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LBA1750MDMDBehavioral Analyst
03945MDMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Psychology, Inc Behavior Analyst CurrentSince Nov 1, 2020 Accepting new patients

Locations

3905 National Dr
Ste 230
Burtonsville, MD 20866
Phone (240) 650-0779

3905 National Dr
Ste 360
Burtonsville, MD 20866
Phone (240) 650-0779

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1104945070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 230",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666101",
            "telephone_number": "301-256-5243",
            "fax_number": "443-583-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 230",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666101",
            "telephone_number": "301-256-5243",
            "fax_number": "443-923-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARPHARE",
        "first_name": "GEETA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "03945",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA1750",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "03945",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": "03945",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "03945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780063",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.