Individual provider Active NPI

Laura June, PH.D.

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1255473799
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2828 Issued in MD
Practice address
1190 W Northern Pkwy Apt 105a
Baltimore, MD 21210-1447
Phone
(410) 235-7899
Fax
(410) 433-2288
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2828 MD Primary

Addresses

Primary practice location

1190 W Northern Pkwy Apt 105a
Baltimore, MD 21210-1447

Mailing address

1190 W Northern Pkwy Apt 105a
Baltimore, MD 21210-1447
Phone (410) 235-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000499 MD Practitioner - Clinical Psychologist 3375692361 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4901 Spring Garden Dr
1G
Baltimore, MD 21209-4669
Phone (410) 235-7899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2828MDMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1255473799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 W NORTHERN PKWY APT 105A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101447",
            "telephone_number": "410-235-7899",
            "fax_number": "410-433-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W NORTHERN PKWY APT 105A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101447",
            "telephone_number": "410-235-7899",
            "fax_number": "410-433-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNE",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.