NPIMap

Organization Active NPI

Psychology Telehealth Services, LLC

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1245995273
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOLOGY TELEHEALTH SERVICES, LLC
Practice address
820 Reserve Champion Dr
Rockville, MD 20850-5877
Phone
(301) 461-4504
NPI assigned
Nov 4, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jodi Albert, PHDNPI 1285700609
Title
Director/Clinical Psychologist
Phone
(301) 461-4504

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

820 Reserve Champion Dr
Rockville, MD 20850-5877

Mailing address

820 Reserve Champion Dr
Rockville, MD 20850-5877
Phone (301) 461-4504

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2024.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1245995273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 RESERVE CHAMPION DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505877",
            "telephone_number": "301-461-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 RESERVE CHAMPION DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505877",
            "telephone_number": "301-461-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY TELEHEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-461-4504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.