Individual provider Active NPI

Denise Lenore Dewhurst, PHD

  • Psychologist
  • Germantown, MD
National Provider Identifier
1285723478
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2392 Issued in MD
Practice address
13617 Anndyke PL
Germantown, MD 20874-2806
Phone
(301) 353-9543
Fax
(301) 540-3897
NPI assigned
Oct 12, 2006
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2392 MD Primary

Addresses

Primary practice location

13617 Anndyke PL
Germantown, MD 20874-2806

Mailing address

13617 Anndyke PL
Germantown, MD 20874-2806
Phone (301) 353-9543

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

LicenseStateTypeSpecialty
2392MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1285723478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 ANNDYKE PL",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742806",
            "telephone_number": "301-353-9543",
            "fax_number": "301-540-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 ANNDYKE PL",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742806",
            "telephone_number": "301-353-9543",
            "fax_number": "301-540-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWHURST",
        "first_name": "DENISE",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "2392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.