Individual provider Active NPI

Pearl Ailsa Coakley, PSY.D.

  • Clinical Psychologist
  • Bowie, MD
National Provider Identifier
1427374404
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03437 Issued in MD
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

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1000044 DC
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

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

LicenseStateTypeSpecialty
PSY1000044DCMDClinical Psychologist
03437MDMDClinical Psychologist
O3437MDMDClinical Psychologist
0810000357VAMDClinical 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.

Verify at the official NPI Registry.