Sandra Orlene Newcomb, PH.D.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

PGP-0683016 Issued in VA

Practice address

1813 Piccard Dr
Rockville, MD 20850-6067

Phone

(301) 412-7435

NPI assigned

Feb 13, 2019

Last updated

Feb 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1407312515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 PICCARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506067",
            "telephone_number": "301-412-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 PICCARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506067",
            "telephone_number": "301-412-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "SANDRA",
        "middle_name": "ORLENE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "VA",
            "license": "PGP-0683016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230174317",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmental Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Developmental Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.