NPIMap

Organization Active NPI

Maria Jose Rendon PH.D. LLC

Doing business as Potomac CBT Center

  • Counseling Psychologist
  • Potomac, MD
National Provider Identifier
1275266058
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
MARIA JOSE RENDON PH.D. LLC
Doing business as
Potomac CBT Center
Practice address
12712 Deep Spring Dr
Potomac, MD 20854-2355
Phone
(240) 200-0842
Fax
(301) 590-0758
NPI assigned
Jul 8, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Dr. Maria Jose Rendon, PH.D.NPI 1023556065
Title
Clinical Director
Phone
(240) 200-0842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

12712 Deep Spring Dr
Potomac, MD 20854-2355

Mailing address

402 King Farm Blvd
Suite 125, #1102
Rockville, MD 20850
Phone (786) 281-4742

Other names 1

  • Potomac CBT Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1275266058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD",
            "address_2": "SUITE 125, #1102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "786-281-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12712 DEEP SPRING DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542355",
            "telephone_number": "240-200-0842",
            "fax_number": "301-590-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA JOSE RENDON PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-200-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac CBT Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potomac CBT Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.