Individual provider Active NPI

Uzi Ben-Ami, PHD

  • Psychologist
  • Rockville, MD
National Provider Identifier
1376768028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01074 Issued in MD
Practice address
205 Watts Branch Pkwy
Rockville, MD 20850-2913
Phone
(301) 424-1941
Fax
(301) 315-0219
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01074 MD Primary
Psychologist 103T00000X PFY1152 DC

Addresses

Primary practice location

205 Watts Branch Pkwy
Rockville, MD 20850-2913

Mailing address

205 Watts Branch Pkwy
Rockville, MD 20850-2913
Phone (301) 424-1941

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

LicenseStateTypeSpecialty
PFY1152DCMDPsychologist
01074MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376768028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WATTS BRANCH PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502913",
            "telephone_number": "301-424-1941",
            "fax_number": "301-315-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WATTS BRANCH PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502913",
            "telephone_number": "301-424-1941",
            "fax_number": "301-315-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-AMI",
        "first_name": "UZI",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01074",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PFY1152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.