Active NPI
Jennifer Neemann, PH.D.
- Clinical Psychologist
- Manchester, MD
National Provider Identifier
1356418792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3268
- Practice address
- 3703 Rockdale Rd
Manchester, MD 21102-2619 - Phone
- (410) 952-6081
- NPI assigned
- Nov 29, 2006
- 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 | 3268 | MD | Primary |
Addresses
Primary practice location
3703 Rockdale Rd
Manchester, MD 21102-2619
Mailing address
3703 Rockdale Rd
Manchester, MD 21102-2619
Phone (410) 952-6081
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806301000 | Medicaid | MD | |
| 75851706 | Other | MD | CAREFIRST BC BS RENDERING |
| K576-0001 | Other | MD | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3268 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1356418792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 ROCKDALE RD",
"city": "MANCHESTER",
"state": "MD",
"postal_code": "211022619",
"telephone_number": "410-952-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 ROCKDALE RD",
"city": "MANCHESTER",
"state": "MD",
"postal_code": "211022619",
"telephone_number": "410-952-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEMANN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "3268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806301000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC BS RENDERING",
"identifier": "75851706",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "K576-0001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.