Active NPI
Brooke A. Stipelman, PHD
- Clinical Psychologist
- Kensington, MD
National Provider Identifier
1265759104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04788
- Practice address
- 3841 Farragut Ave
Kensington, MD 20895-2004 - Phone
- (301) 949-2098
- NPI assigned
- May 3, 2010
- Last updated
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04788 | MD | Primary |
Addresses
Primary practice location
3841 Farragut Ave
Kensington, MD 20895-2004
Mailing address
12709 Huntsman Way
Potomac, MD 20854-2308
Phone (732) 208-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04788 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1265759104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12709 HUNTSMAN WAY",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542308",
"telephone_number": "732-208-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 FARRAGUT AVE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952004",
"telephone_number": "301-949-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIPELMAN",
"first_name": "BROOKE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
- Mark St. George, D.D.S.
- Stahl Speech and Language Therapy LLC
- Alexandra Spector Stahl, M.S. CCC-SLP
- Heather A Stemas, ATR-BC, LCPAT MARYLA
- Robin J. Stinson, AUD
- Louise Marie Stomierowski, MD
- Diane Humphreys Stuart, LCSW-C
- Susan Ho DDS LLC (Kensington Natural Smiles)
- Svetavots Corp Dba 24-7 Brightstar Health Care (BrightStar Health Care)
- Timothy Donald Swartz, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.