Potomac Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

POTOMAC PSYCHOLOGICAL SERVICES, LLC

Practice address

20 Courthouse SQ Ste 216
Rockville, MD 20850-0399

Phone

(301) 244-9685

NPI assigned

Jan 16, 2023

Last updated

Jan 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Genine Swanzey-Mahon, PSYDNPI 1225707094

Title

Owner

Phone

(301) 244-9685

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Genine Swanzey-Mahon, PSYD

  • Clinical Psychologist
  • Rockville, MD
  • NPI 1225707094
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1427763440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60752",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208590752",
            "telephone_number": "301-244-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COURTHOUSE SQ STE 216",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500399",
            "telephone_number": "301-244-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "SWANZEY-MAHON",
        "authorized_official_first_name": "GENINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-244-9685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Potomacplasticandreconstructivesurgerycenterjanettealexandermdpa

• Clinical Psychologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.