Individual provider Active NPI

Renata Cerqueira Fire, PH.D.

  • Psychologist
  • Rockville, MD
National Provider Identifier
1164632501
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
25 Wood LN
Rockville, MD 20850-2228
Phone
(301) 825-8186
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

25 Wood LN
Rockville, MD 20850-2228

Mailing address

25 Wood LN
Rockville, MD 20850-2228
Phone (301) 825-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06253MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fire Psychological Services, LLC Psychologist CurrentSince Mar 20, 2025 Accepting new patients
County of Loudoun, Virginia Past Accepting new patients

Locations

25 Wood Ln
Rockville, MD 20850
Phone (240) 507-8509

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1164632501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOOD LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502228",
            "telephone_number": "301-825-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOOD LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502228",
            "telephone_number": "301-825-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRE",
        "first_name": "RENATA",
        "middle_name": "CERQUEIRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.