Individual provider Active NPI

Marcia A Lang, PSYD LCSWC

  • Psychologist
  • Fort George G Meade, MD
National Provider Identifier
1164582698
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
08148 Issued in MD
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

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LC303025DCMDPsychologist
08148MDMDPsychologist
0904002833VAMDPsychologist

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.

Verify at the official NPI Registry.