Individual provider Active NPI

Cynthia Robin Kalodner, PH.D.

  • Psychologist
  • Columbia, MD
National Provider Identifier
1356680805
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02830 Issued in MD
Practice address
10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865
Phone
(443) 542-5855
NPI assigned
Feb 4, 2013
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02830 MD Primary
Cognitive & Behavioral Psychologist 103TB0200X 02830 MD

Addresses

Primary practice location

10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865

Mailing address

10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865
Phone (443) 542-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000076 MD Practitioner - Clinical Psychologist 7719126473 Reassigns benefits to 1 organization
Practice locations: Columbia, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6834 Carlinda Ave
Columbia, MD 21046-1109
Phone (410) 491-2443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02830MDMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Solutions, LLC PastSince Jun 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1356680805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD STE B215",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461865",
            "telephone_number": "443-542-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD STE B215",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461865",
            "telephone_number": "443-542-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALODNER",
        "first_name": "CYNTHIA",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02830",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "02830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.