Individual provider Active NPI

Colleen Marie Cummings, PH.D.

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1215183587
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05514 Issued in MD
Practice address
3200 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4265
Phone
(301) 593-6554
NPI assigned
Aug 18, 2008
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05514 MD Primary

Addresses

Primary practice location

3200 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4265

Mailing address

3200 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4265
Phone (301) 593-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 3, 2014 through Sep 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05514MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alvord Baker & Associates LLC CurrentSince Feb 7, 2021 Accepting new patients
Ernest J Bordini PHD & Assoc PA Clinical Past Accepting new patients

Locations

3200 Tower Oaks Blvd
Ste 200
Rockville, MD 20852
Phone (301) 593-6554

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1215183587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 TOWER OAKS BLVD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524265",
            "telephone_number": "301-593-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TOWER OAKS BLVD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524265",
            "telephone_number": "301-593-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.