Active NPI
Marcia A Lang, PSYD LCSWC
- Psychologist
- Fort George G Meade, MD
National Provider Identifier
1164582698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 08148
- Practice address
- 2480 Llewellyn Ave
Asap
Fort George G Meade, MD 20755-5800 - Phone
- (301) 677-8895
- Fax
- (301) 677-8957
- NPI assigned
- Dec 12, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0904002833 | VA | |
| Psychologist | 103T00000X | LC303025 | DC | |
| Psychologist | 103T00000X | 08148 | MD | Primary |
Addresses
Primary practice location
2480 Llewellyn Ave
Asap
Fort George G Meade, MD 20755-5800
Mailing address
2480 Llewellyn Ave
Asap
Fort George G Meade, MD 20755-5800
Phone (301) 677-8895
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC303025 | DC | MD | Psychologist |
| 08148 | MD | MD | Psychologist |
| 0904002833 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1164582698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"address_2": "ASAP",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555800",
"telephone_number": "301-677-8895",
"fax_number": "301-677-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"address_2": "ASAP",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555800",
"telephone_number": "301-677-8895",
"fax_number": "301-677-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "MARCIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0904002833",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "LC303025",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "08148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.