Individual provider Active NPI

Reji Abhilash, PH.D

  • Psychologist
  • Rockville, MD
National Provider Identifier
1346743739
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05968 Issued in MD
Practice address
6209 Executive Blvd
Rockville, MD 20852-3906
Phone
(240) 883-9800
NPI assigned
Mar 13, 2018
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05968 MD Primary

Addresses

Primary practice location

6209 Executive Blvd
Rockville, MD 20852-3906

Mailing address

6209 Executive Blvd
Rockville, MD 20852-3906
Phone (240) 883-9800

Other names 1

  • Reji Mohan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180329000185 DC Practitioner - Clinical Psychologist 4981966009 Reassigns benefits to 3 organizations
I20180404000902 MD Practitioner - Clinical Psychologist 4981966009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6209 Executive Blvd
Rockville, MD 20852-3906
Phone (301) 883-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05968MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healwellmind LLC CurrentSince Nov 19, 2023 Accepting new patients
Della Behavioral Health Services Psychologist CurrentSince Mar 26, 2018 Accepting new patients
Capitolhill Consortium for Counseling & Consultation, LLC Psychologist CurrentSince Mar 15, 2021 Accepting new patients

Locations

650 Pennsylvania Ave SE
Ste 440
Washington, DC 20003
Phone (202) 674-1227

7067 Columbia Gateway Dr
Ste 180
Columbia, MD 21046
Phone (410) 925-7225

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

11119 Rockville Pike
Ste 200
Rockville, MD 20852
Phone (301) 231-9665

6209 Executive Blvd
Rockville, MD 20852
Phone (240) 426-8344

10313 Georgia Ave
Ste 307
Silver Spring, MD 20902
Phone (301) 681-9095

1235 S Clark St
Ste 510
Arlington, VA 22202
Phone (703) 413-3028

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1346743739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "240-883-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "240-883-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABHILASH",
        "first_name": "REJI",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REJI",
            "last_name": "MOHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.