Active NPI
Joan Ledvina Parr, PH.D.
- Psychologist
- Phoenix, MD
National Provider Identifier
1407319486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01523
- Practice address
- 13 Glenbrook Dr
Phoenix, MD 21131-2007 - Phone
- (410) 666-0480
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01523 | MD | Primary |
Addresses
Primary practice location
13 Glenbrook Dr
Phoenix, MD 21131-2007
Mailing address
13 Glenbrook Dr
Phoenix, MD 21131-2007
Phone (410) 666-0480
Other practice location 1
222 New Ave
Reisterstown, MD 21136-1322
Phone (410) 887-1103
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01523 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1407319486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 GLENBROOK DR",
"city": "PHOENIX",
"state": "MD",
"postal_code": "211312007",
"telephone_number": "410-666-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 GLENBROOK DR",
"city": "PHOENIX",
"state": "MD",
"postal_code": "211312007",
"telephone_number": "410-666-0480"
}
],
"practiceLocations": [
{
"address_1": "222 New Ave",
"address_purpose": "LOCATION",
"city": "Reisterstown",
"state": "MD",
"postal_code": "211361322",
"country_code": "US",
"telephone_number": "410-887-1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARR",
"first_name": "JOAN",
"middle_name": "LEDVINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "01523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, MD
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- Sherry Marie Pearson, NP-C
- Eva Pechin, LGPC
- Kristin Marie Pelletier, IBCLC
- David Alan Perrott, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.