Active NPI
Pearl Ailsa Coakley, PSY.D.
- Clinical Psychologist
- Bowie, MD
National Provider Identifier
1427374404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03437
- Practice address
- 16701 Melford Blvd Ste 400
Bowie, MD 20715-4411 - Phone
- (301) 399-9119
- NPI assigned
- Apr 15, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000044 | DC | |
| Clinical Psychologist | 103TC0700X | O3437 | MD | |
| Clinical Psychologist | 103TC0700X | 03437 | MD | Primary |
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | 0810000357 | VA |
Addresses
Primary practice location
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Mailing address
12530 Fairwood Pkwy Ste 102231
Bowie, MD 20720-6356
Phone (301) 399-9119
Other practice location 1
5904 Richmond Hwy
Alexandria, VA 22303-1875
Phone (301) 399-9119
Other practice location 2
1500 K St NW Fl 22
Washington, DC 20005-1209
Phone (301) 399-9119
Other practice location 3
1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone (301) 399-9119
Other practice location 4
6701 Democracy Blvd
Bethesda, MD 20817-1572
Phone (301) 399-9119
Other names 1
- Dr. Ailsa Coakley
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000044 | DC | MD | Clinical Psychologist |
| 03437 | MD | MD | Clinical Psychologist |
| O3437 | MD | MD | Clinical Psychologist |
| 0810000357 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748736000000",
"number": "1427374404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12530 FAIRWOOD PKWY STE 102231",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206356",
"telephone_number": "301-399-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16701 MELFORD BLVD STE 400",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154411",
"telephone_number": "301-399-9119"
}
],
"practiceLocations": [
{
"address_1": "5904 Richmond Hwy",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223031875",
"country_code": "US",
"telephone_number": "301-399-9119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 K St NW Fl 22",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200051209",
"country_code": "US",
"telephone_number": "301-399-9119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 Connecticut Ave NW Ste 500",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200365304",
"country_code": "US",
"telephone_number": "301-399-9119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6701 Democracy Blvd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208171572",
"country_code": "US",
"telephone_number": "301-399-9119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COAKLEY",
"first_name": "PEARL",
"middle_name": "AILSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2025-06-01",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000044",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "O3437",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03437",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AILSA",
"last_name": "COAKLEY",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.