Active NPI
Rachel Menditch, PSYD
- Psychologist
- Ellicott City, MD
National Provider Identifier
1316391634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05683
- Practice address
- 5116 Dorsey Hall Dr
Ellicott City, MD 21042-7871 - Phone
- (410) 995-8274
- NPI assigned
- Apr 22, 2016
- Last updated
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05683 | MD | Primary |
Addresses
Primary practice location
5116 Dorsey Hall Dr
Ellicott City, MD 21042-7871
Mailing address
5116 Dorsey Hall Dr
Ellicott City, MD 21042-7871
Phone (410) 995-8274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE AT THIS TIME | Other | NONE AT THIS TIME |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05683 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard County Psychological Services, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Ellicott City, MD
- NPI 1194276279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1316391634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 DORSEY HALL DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427871",
"telephone_number": "410-995-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5116 DORSEY HALL DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427871",
"telephone_number": "410-995-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDITCH",
"first_name": "RACHEL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE AT THIS TIME",
"identifier": "NONE AT THIS TIME",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.