Organization Active NPI

Molly Perkins Hauck, PH.D., LLC

  • Clinical Psychologist
  • Kensington, MD
National Provider Identifier
1336575760
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02128 Issued in MD
Legal business name
MOLLY PERKINS HAUCK, PH.D., LLC
Practice address
3900 Decatur Ave
Kensington, MD 20895-1531
Phone
(301) 881-4884
Fax
(301) 881-5447
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Molly Perkins Hauck, PH.D.NPI 1770646465
Title
President
Phone
(301) 881-4884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 02128 MD Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3900 Decatur Ave
Kensington, MD 20895-1531

Mailing address

3900 Decatur Ave
Kensington, MD 20895-1531
Phone (301) 881-4884

Other identifiers 1

IdentifierTypeStateIssuer
101600800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131220000418 DC Part B Supplier - Clinic/Group Practice 5597992420 Receives reassigned benefits from 1 practitioner
Practice locations: Kensington, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1336575760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 DECATUR AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951531",
            "telephone_number": "301-881-4884",
            "fax_number": "301-881-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DECATUR AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951531",
            "telephone_number": "301-881-4884",
            "fax_number": "301-881-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY PERKINS HAUCK, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "HAUCK",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "PERKINS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02128",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101600800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.