Active NPI
Alexandra Cargo, PHD
- Clinical Psychologist
- Columbia, MD
National Provider Identifier
1164527776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03037
- Practice address
- 10451 Twin Rivers Rd
Columbia, MD 21044-2388 - Phone
- (410) 997-3557
- Fax
- (410) 964-1791
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03037 | MD | Primary |
Addresses
Primary practice location
10451 Twin Rivers Rd
Columbia, MD 21044-2388
Mailing address
4623 Falls Road
Baltimore, MD 21209
Phone (410) 366-1980
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248457 | Other | MD | UNITED BEHAVIORAL HEALTH |
| 7572389 | Other | MD | AETNA HEALTHCARE |
| 347491 | Other | MD | MAMSI |
| 53242202 | Other | MD | CAREFIRST BCBS |
| PVPB134009 | Other | MD | APS HEALTHCARE |
| T541-0003 | Other | MD | CAREFIRST BCBS |
| 226086 | Other | MD | KAISER |
| 366159 | Other | MD | TRICARE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03037 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1164527776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FALLS ROAD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10451 TWIN RIVERS RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442388",
"telephone_number": "410-997-3557",
"fax_number": "410-964-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARGO",
"first_name": "ALEXANDRA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "248457",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "7572389",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "347491",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "53242202",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "PVPB134009",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "T541-0003",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "226086",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "366159",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.