Tamara McKenzie-Hartman, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810004917 Issued in VA

Practice address

4860 S Palmer Rd BLDG 51
Bethesda, MD 20889-5649

Phone

(301) 319-3710

NPI assigned

Oct 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1306240353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 S PALMER RD BLDG 51",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 S PALMER RD BLDG 51",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895649",
            "telephone_number": "301-319-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE-HARTMAN",
        "first_name": "TAMARA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810004917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Henry McIlwain, DPM
• Margaret Alverta McKeathern, M.D.
• Amy Elizabeth McKee, M.D.
• Caroline McKenna, DO
• Kevin A McKenney, M.D.
• Alexandria D McKenzie, NONE
• Robert Carl McKenzie, D.O.
• Connor McKeown, M.D.
• Marcia J McKinley, PHD NCC LCPC
• Melzettia McKoy

• Clinical Neuropsychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Neuropsychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.