Linda Berg-Cross
Individual provider Active NPI Psychologist · Potomac, MD
NPI 1114079969 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1114079969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 01271 (MD)
- Practice address
- 13 Atwell CT
Potomac, MD 20854-6235 - Phone
- (301) 762-5441
- Fax
- (301) 762-5441
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121000042 | DC | Practitioner - Clinical Psychologist | 6305900887 | Practice locations: Potomac, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1212 | DC | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01271 | MD | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S062-0344 | Other | MD | BC/BS REGIONAL |
| 41085801 | Other | MD | BC/BS |
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.