Individual provider Active NPI

Margaret R. Laracy, PSY.D.

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1245574987
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05290 Issued in MD
Practice address
6917 Arlington Rd Ste 303
Bethesda, MD 20814
Phone
(240) 630-8435
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004655 VA
Psychologist 103T00000X 05290 MD Primary

Addresses

Primary practice location

6917 Arlington Rd Ste 303
Bethesda, MD 20814

Mailing address

11004 Sugarbush Ter
Rockville, MD 20852-3240
Phone (240) 630-8435

Other practice location 1

116 Record St
Frederick, MD 21701-5418
Phone (301) 620-8700 ext. 110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180827000793 DC Practitioner - Clinical Psychologist 2860636503 Reassigns benefits to 1 organization
I20241203001641 IL Practitioner - Clinical Psychologist 2860636503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 N Marion St
Suite 308
Oak Park, IL 60301-1023
Phone (201) 988-6530

6917 Arlington Rd
Suite 303
Bethesda, MD 20814-5288
Phone (240) 630-8435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05290MDMDPsychologist
0810004655VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laracy Psychotherapy, LLC Psychologist CurrentSince Jul 26, 2018 Accepting new patients

Locations

101 N Marion St
Ste 308
Oak Park, IL 60301
Phone (201) 988-6530

6917 Arlington Rd
Ste 303
Bethesda, MD 20814
Phone (240) 630-8435

Organizations & group practices 1

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1245574987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11004 SUGARBUSH TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523240",
            "telephone_number": "240-630-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD STE 303",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "240-630-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Record St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015418",
            "country_code": "US",
            "telephone_number": "301-620-8700 x110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARACY",
        "first_name": "MARGARET",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004655",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.