Active NPI
Deepti Pradhan
- Clinical Psychologist
- Lutherville, MD
National Provider Identifier
1437506334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- A0088
- Practice address
- 1205 York Rd
Suite 11
Lutherville, MD 21093-6210 - Phone
- (443) 810-9483
- NPI assigned
- May 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | A0088 | MD | Primary |
Addresses
Primary practice location
1205 York Rd
Suite 11
Lutherville, MD 21093-6210
Mailing address
13941 Alderton Rd
Silver Spring, MD 20906-2063
Phone (443) 810-9483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0088 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurothrive, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Lutherville, MD
- NPI 1063890556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1437506334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13941 ALDERTON RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062063",
"telephone_number": "443-810-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 YORK RD",
"address_2": "SUITE 11",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936210",
"telephone_number": "443-810-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "DEEPTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "A0088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.