Individual provider Active NPI

Anna V. Agranovich, PH.D.

  • Rehabilitation Psychologist
  • Baltimore, MD
National Provider Identifier
1386873271
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
04811 Issued in 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
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Psychologist 103TC0700X 04811 MD
Rehabilitation Psychologist 103TR0400X 04811 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110907001533 DC Practitioner - Clinical Psychologist 3678743366 Reassigns benefits to 1 organization
I20181003001770 MD Practitioner - Clinical Psychologist 3678743366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

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 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04811MDMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 19, 2017 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2018 Accepting new patients
Johns Hopkins University Clinical Neuropsychologist CurrentSince Sep 1, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

102 Irving St NW
Washington, DC 20010
Phone (202) 877-1587

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545

600 N Wolfe St
Baltimore, MD 21287

Interoperability endpoints

  • Direct secure messaging: aagranovich476455@direct.hopkinsmedicine.org

Organizations & group practices 4

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1386873271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE",
            "address_2": "600 N. WOLFE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE",
            "address_2": "600 N. WOLFE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001",
            "telephone_number": "919-360-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRANOVICH",
        "first_name": "ANNA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04811",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MD",
            "license": "04811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.