Individual provider Active NPI

Jaime N Fryburg, PSYD

  • Psychologist
  • Silver Spring, MD
National Provider Identifier
1356004246
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8720 Georgia Ave Ste 700
Silver Spring, MD 20910-3602
Phone
(202) 545-2410
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

8720 Georgia Ave Ste 700
Silver Spring, MD 20910-3602

Mailing address

2121 N Westmoreland St Apt 135
Arlington, VA 22213-1058
Phone (954) 298-0360

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbury Wellness and Learning Group Psychologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

8720 Georgia Ave
Ste 700
Silver Spring, MD 20910
Phone (202) 545-2410

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1356004246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N WESTMORELAND ST APT 135",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222131058",
            "telephone_number": "954-298-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE STE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103602",
            "telephone_number": "202-545-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYBURG",
        "first_name": "JAIME",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.