Roderick Irving Wellington, LCPC, NCC, CFC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LC6249 Issued in MD

Practice address

7050 Chesapeake Rd
Suite 104
Landover Hills, MD 20784-2347

Phone

(301) 459-0726

Fax

(301) 576-3787

NPI assigned

Apr 7, 2015

Last updated

Apr 7, 2015By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1336535319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 CHESAPEAKE RD",
            "address_2": "SUITE 104",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842347",
            "telephone_number": "301-459-0726",
            "fax_number": "301-576-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 CHESAPEAKE RD",
            "address_2": "SUITE 104",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842347",
            "telephone_number": "301-459-0726",
            "fax_number": "301-576-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLINGTON",
        "first_name": "RODERICK",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "LCPC, NCC, CFC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "LC6249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Landover Hills, MD
• Providers in Landover Hills, MD by specialty
• Clinical Child & Adolescent Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.