Active NPI
Circle Treatment Center PC
- Clinical Psychologist
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CIRCLE TREATMENT CENTER PC
- Practice address
- 3309 Shirley LN
Chevy Chase, MD 20815-3906 - Phone
- (301) 258-2626
- Fax
- (301) 654-1612
- NPI assigned
- Jan 18, 2006
- Last updated
- Jan 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rosalind Goldfarb, PH LCDC
- Title
- Owner Director
- Phone
- (301) 258-2626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MD2123 | MD | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 4106 | MD | |
| Clinical Psychologist | 103TC0700X | 0810002291 | VA | |
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3309 Shirley LN
Chevy Chase, MD 20815-3906
Mailing address
3309 Shirley LN
Chevy Chase, MD 20815-3906
Phone (301) 258-2626
Other practice location 1
424 N Frederick Ave
8A
Gaithersburg, MD 20877-2433
Phone (301) 258-2626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116981500 | Medicaid | MD | |
| 283821 | Other | MD | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
424 N Frederick Ave
Ste 8A
Gaithersburg, MD 20877
Phone (240) 547-9316
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": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611187200000",
"number": "1275513251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 SHIRLEY LN",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153906",
"telephone_number": "301-258-2626",
"fax_number": "301-654-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 SHIRLEY LN",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153906",
"telephone_number": "301-258-2626",
"fax_number": "301-654-1612"
}
],
"practiceLocations": [
{
"address_1": "424 N Frederick Ave",
"address_2": "8A",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208772433",
"country_code": "US",
"telephone_number": "301-258-2626",
"fax_number": "301-258-9744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CIRCLE TREATMENT CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "GOLDFARB",
"authorized_official_first_name": "ROSALIND",
"authorized_official_title_or_position": "OWNER DIRECTOR",
"authorized_official_telephone_number": "301-258-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH LCDC"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MD",
"license": "MD2123",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "4106",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002291",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116981500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "283821",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.