Active NPI
Natalie Gwin, PSYD
- Psychologist
- Columbia, MD
National Provider Identifier
1346711439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05365
- Practice address
- 10630 Little Patuxent Pkwy Ste 310
Columbia, MD 21044-3264 - Phone
- (240) 547-9462
- NPI assigned
- Dec 16, 2018
- 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 | 05365 | MD | Primary |
Addresses
Primary practice location
10630 Little Patuxent Pkwy Ste 310
Columbia, MD 21044-3264
Mailing address
4810 Red Fox Rd
Rockville, MD 20852-2318
Phone (240) 812-1174
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 |
|---|---|---|---|
| 05365 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1346711439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 RED FOX RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522318",
"telephone_number": "240-812-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY STE 310",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443264",
"telephone_number": "240-547-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWIN",
"first_name": "NATALIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.