Active NPI
Linda Berg-Cross
- Psychologist
- Potomac, MD
National Provider Identifier
1114079969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01271
- Practice address
- 13 Atwell CT
Potomac, MD 20854-6235 - Phone
- (301) 762-5441
- Fax
- (301) 762-5441
- NPI assigned
- Jan 18, 2007
- Last updated
- Jun 22, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01271 | MD | Primary |
| Psychologist | 103T00000X | 1212 | DC |
Addresses
Primary practice location
13 Atwell CT
Potomac, MD 20854-6235
Mailing address
13 Atwell CT
Potomac, MD 20854-6235
Phone (301) 762-5441
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41085801 | Other | MD | BC/BS |
| S062-0344 | Other | MD | BC/BS REGIONAL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121000042 | DC | Practitioner - Clinical Psychologist | 6305900887 | Practice locations: Potomac, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1974
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13 Atwell CT
Potomac, MD 20854-6235
Phone (301) 762-5441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1212 | DC | MD | Psychologist |
| 01271 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1114079969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 ATWELL CT",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546235",
"telephone_number": "301-762-5441",
"fax_number": "301-762-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 ATWELL CT",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546235",
"telephone_number": "301-762-5441",
"fax_number": "301-762-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG-CROSS",
"first_name": "LINDA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "01271",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "1212",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "41085801",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS REGIONAL",
"identifier": "S062-0344",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.