Active NPI
Letitia Travaglini, PH.D.
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1235510751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06009
- Practice address
- 10 N. Greene St.
Annex Building, 7TH FL (Mirecc)
Baltimore, MD 21201 - Phone
- (410) 637-1867
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 06009 | MD | Primary |
Addresses
Primary practice location
10 N. Greene St.
Annex Building, 7TH FL (Mirecc)
Baltimore, MD 21201
Mailing address
10 N. Greene St.
Annex Building, 7TH FL (Mirecc)
Baltimore, MD 21201
Phone (410) 637-1867
Other practice location 1
701 W Pratt St Fl 4
Baltimore, MD 21201-1023
Phone (410) 328-6108
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1235510751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N. GREENE ST.",
"address_2": "ANNEX BUILDING, 7TH FL (MIRECC)",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-637-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N. GREENE ST.",
"address_2": "ANNEX BUILDING, 7TH FL (MIRECC)",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-637-1867"
}
],
"practiceLocations": [
{
"address_1": "701 W Pratt St Fl 4",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011023",
"country_code": "US",
"telephone_number": "410-328-6108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVAGLINI",
"first_name": "LETITIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.