Active NPI
Molly Perkins Hauck, PH.D., LLC
- Clinical Psychologist
- Kensington, MD
National Provider Identifier
1336575760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02128
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101600800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.