Anna V. Agranovich, PH.D.
Individual provider Active NPI Rehabilitation Psychologist · Baltimore, MD
NPI 1386873271 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1386873271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Psychologist 103TR0400X
- License
- 04811 (MD)
- Practice address
- Johns Hopkins University School of Medicine
600 N. Wolfe Street
Baltimore, MD 21287-0001 - Phone
- (919) 360-5656
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Johns Hopkins University
Practice addresses (Care Compare)
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000
5501 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone (410) 550-0545
5505 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone (410) 550-0756
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110907001533 | DC | Practitioner - Clinical Psychologist | 3678743366 | Reassigns benefits to 1 organization |
| I20181003001770 | MD | Practitioner - Clinical Psychologist | 3678743366 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04811 | MD | MD | Rehabilitation Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Johns Hopkins University | Current |
Accepting new patients | |
| Johns Hopkins University | Clinical Neuropsychologist | Current |
Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
102 Irving St NW
Washington, DC 20010
Phone (202) 877-1587
5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545
600 N Wolfe St
Baltimore, MD 21287
Interoperability endpoints
- aagranovich476455@direct.hopkinsmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | 04811 | MD | |
| Rehabilitation Psychologist | 103TR0400X | 04811 | MD | Yes |
Addresses
Primary practice location
Johns Hopkins University School of Medicine
600 N. Wolfe Street
Baltimore, MD 21287-0001
Mailing address
Johns Hopkins University School of Medicine
600 N. Wolfe Street
Baltimore, MD 21287-0001
Other providers in Baltimore, MD
- Njideka Aginam
- Nnenna Aginam
- Chanel F Agness
- Senayet Dereje Agonafer
- Michelle Patrice Agostini
- Anshuman Agrawal
- Ashok K Agrawal
- Devika Agrawal
- Parth Agrawal
- Pranjal Agrawal
All providers in Baltimore, MD · Rehabilitation Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.