Individual provider Active NPI

Jennifer Oh, PSYD

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1255070793
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07039 Issued in MD
Practice address
9707 Key West Ave Ste 100
Rockville, MD 20850-3992
Phone
(240) 750-6467
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X 07039 MD Primary

Addresses

Primary practice location

9707 Key West Ave Ste 100
Rockville, MD 20850-3992

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-1200

Other practice location 1

14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone (276) 398-1200

Other practice location 2

140 Christiansburg Pike NE
Floyd, VA 24091-3742
Phone (540) 745-9290

Other practice location 3

109 Carroll Drive
Fries, VA 24330-2433
Phone (888) 908-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230920000896 DC Practitioner - Clinical Psychologist 3779969324 Reassigns benefits to 3 organizations
I20240201002264 MD Practitioner - Clinical Psychologist 3779969324 Reassigns benefits to 1 organization
I20240315001916 VA Practitioner - Clinical Psychologist 3779969324

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

10 N Jefferson St
Suite 202
Frederick, MD 21701-4865
Phone (240) 750-6467

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
Phone (240) 750-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07039MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 12, 2023 Accepting new patients
Quince Orchard Psychotherapy LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 12, 2023 Accepting new patients
Relational-Cultural Counseling and Consultation Current Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical PastSince Feb 1, 1996 Accepting new patients
Oasis the Mental Health Center, LLC Clinical Past Accepting new patients
Quince Orchard Psychotherapy LLC Past Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 110
Annapolis, MD 21401
Phone (410) 571-0888

175 Admiral Cochrane Dr
Ste 101B
Annapolis, MD 21401
Phone 41076090790

1212 E Churchville Rd
Ste 200
Bel Air, MD 21014
Phone (410) 428-0018

111 Warren Rd
Ste 3A
Cockeysville, MD 21030
Phone (443) 406-6546

10 N Jefferson St
Ste 202
Frederick, MD 21701
Phone (240) 750-6468

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9608 Belair Rd
Nottingham, MD 21236
Phone (443) 595-7627

1363 Becknel Ave
Odenton, MD 21113
Phone (240) 381-7900

1850 York Rd
Ste K
Timonium, MD 21093
Phone (410) 410-7609

Organizations & group practices 8

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1255070793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 KEY WEST AVE STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503992",
            "telephone_number": "240-750-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14558 Danville Pike",
            "address_purpose": "LOCATION",
            "city": "Laurel Fork",
            "state": "VA",
            "postal_code": "243523982",
            "country_code": "US",
            "telephone_number": "276-398-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Carroll Drive",
            "address_purpose": "LOCATION",
            "city": "Fries",
            "state": "VA",
            "postal_code": "243302433",
            "country_code": "US",
            "telephone_number": "888-908-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "07039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.