Organization Active NPI

Mary L Searcy PHD LLC

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1245835438
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARY L SEARCY PHD LLC
Practice address
11249 Lockwood Dr Ste C
Silver Spring, MD 20901-4564
Phone
(301) 570-7549
Fax
(301) 570-0362
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Dr. Mary L. Searcy, PHDNPI 1740384965
Title
Clinical Psychologist
Phone
(301) 570-7549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

11249 Lockwood Dr Ste C
Silver Spring, MD 20901-4564

Mailing address

11249 Lockwood Dr Ste C
Silver Spring, MD 20901-4564
Phone (301) 570-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125000135 DC Part B Supplier - Clinic/Group Practice 9234543711 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

11249 Lockwood Dr
Ste C
Silver Spring, MD 20901
Phone (301) 570-7549

8737 Colesville Rd
Ste 925
Silver Spring, MD 20910
Phone (301) 466-6336

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": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1245835438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11249 LOCKWOOD DR STE C",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014564",
            "telephone_number": "301-570-7549",
            "fax_number": "301-570-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11249 LOCKWOOD DR STE C",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014564",
            "telephone_number": "301-570-7549",
            "fax_number": "301-570-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L SEARCY PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "SEARCY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-570-7549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.