Individual provider Active NPI

Arielle Gesa Shugoll, PSY.D.

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1275884512
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05391 Issued in MD
Practice address
8737 Colesville Rd Ste 304
Silver Spring, MD 20910
Phone
(240) 780-8572
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 05391 MD Primary

Addresses

Primary practice location

8737 Colesville Rd Ste 304
Silver Spring, MD 20910

Mailing address

2212 Hermitage Ave
Silver Spring, MD 20902-2870
Phone (301) 412-0856

Other practice location 1

1400 Spring St
Suite 340
Silver Spring, MD 20910-2735
Phone (240) 780-8572

Other identifiers 1

IdentifierTypeStateIssuer
984025700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20191101000619 DC Practitioner - Clinical Psychologist 7810229671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8737 Colesville Rd
Suite 304
Silver Spring, MD 20910-3921
Phone (240) 780-8572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05391MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arielle Shugoll PSYD LLC CurrentSince Aug 3, 2019 Accepting new patients

Locations

8737 Colesville Rd
Ste 304
Silver Spring, MD 20910
Phone (240) 780-8572

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1275884512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 HERMITAGE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022870",
            "telephone_number": "301-412-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 COLESVILLE RD STE 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "240-780-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Spring St",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209102735",
            "country_code": "US",
            "telephone_number": "240-780-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUGOLL",
        "first_name": "ARIELLE",
        "middle_name": "GESA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984025700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.