Individual provider Active NPI

Patricia G. Webbink, PH.D.

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1225377559
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00810 Issued in MD
Practice address
6109 Broad St
Bethesda, MD 20816-2613
Phone
(301) 229-0034
Fax
(240) 213-0230
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00810 MD Primary

Addresses

Primary practice location

6109 Broad St
Bethesda, MD 20816-2613

Mailing address

6109 Broad St
Bethesda, MD 20816-2613
Phone (301) 229-0034

Other identifiers 1

IdentifierTypeStateIssuer
00810OtherMDMARYLAND LICENSING BOARD OF PSYCHOLOGISTS

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00810MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1225377559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 BROAD ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162613",
            "telephone_number": "301-229-0034",
            "fax_number": "240-213-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 BROAD ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162613",
            "telephone_number": "301-229-0034",
            "fax_number": "240-213-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBINK",
        "first_name": "PATRICIA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "00810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSING BOARD OF PSYCHOLOGISTS",
            "identifier": "00810",
            "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 Feb 6, 2013; 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.