Active NPI
Rachna D Jain, PSYD
- Clinical Psychologist
- Beltsville, MD
National Provider Identifier
1346895752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03644
- Practice address
- 11700 Montgomery Rd
Beltsville, MD 20705-1159 - Phone
- (240) 389-3459
- NPI assigned
- Aug 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03644 | MD | Primary |
Addresses
Primary practice location
11700 Montgomery Rd
Beltsville, MD 20705-1159
Mailing address
20203 Goshen Rd # 374
Gaithersburg, MD 20879-4000
Phone (240) 389-3459
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.sendthisfile.com/f.jsp?id=e7843KHCt0iZnY6eiLFbmCuP | Direct |
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 |
|---|---|---|---|
| 03644 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564790400000",
"number": "1346895752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20203 GOSHEN RD # 374",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208794000",
"telephone_number": "240-389-3459",
"fax_number": "240-396-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 MONTGOMERY RD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051159",
"telephone_number": "240-389-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "RACHNA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-03",
"last_updated": "2019-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.sendthisfile.com/f.jsp?id=e7843KHCt0iZnY6eiLFbmCuP",
"affiliation": "N",
"endpointDescription": "File transfer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "any file",
"address_1": "11700 Montgomery Rd",
"city": "Beltsville",
"state": "MD",
"country_code": "US",
"postal_code": "207051159",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.