Active NPI
Sharon Ruth Nuss, PSY.D.
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1275074676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05719
- Practice address
- 12073 Tech Rd Ste B
Silver Spring, MD 20904-7874 - Phone
- (301) 593-1315
- NPI assigned
- Mar 17, 2017
- 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 | 05719 | MD | Primary |
Addresses
Primary practice location
12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Mailing address
86 Eldrid Dr
Silver Spring, MD 20904-2912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05719 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Current | Accepting new patients |
Locations
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
Organizations & group practices 1
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": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1275074676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 ELDRID DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12073 TECH RD STE B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047874",
"telephone_number": "301-593-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSS",
"first_name": "SHARON",
"middle_name": "RUTH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05719",
"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 Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.