Organization Active NPI

Robin a. Rudd, PH.D. , LLC

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1215175369
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MD2216 Issued in MD
Legal business name
ROBIN A. RUDD, PH.D. , LLC
Practice address
4915 Saint Elmo Ave
#404
Bethesda, MD 20814-6019
Phone
(301) 652-3290
Fax
(301) 986-0104
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Robin A. Rudd, PH.D.
Title
Psychologist
Phone
(301) 652-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X MD2216 MD Primary

Addresses

Primary practice location

4915 Saint Elmo Ave
#404
Bethesda, MD 20814-6019

Mailing address

4915 Saint Elmo Ave
#404
Bethesda, MD 20814-6019
Phone (301) 652-3290

Other identifiers 1

IdentifierTypeStateIssuer
1932323573OtherMDNPI PERSONAL

National Provider Directory

National Provider Directory

Locations

4915 Saint Elmo Ave
Ste 404
Bethesda, MD 20814
Phone (202) 251-5525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1215175369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE",
            "address_2": "#404",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019",
            "telephone_number": "301-652-3290",
            "fax_number": "301-986-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE",
            "address_2": "#404",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019",
            "telephone_number": "301-652-3290",
            "fax_number": "301-986-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN A. RUDD, PH.D. , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-652-3290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "MD2216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1932323573",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.