Adrienne Pena

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

A0465 Issued in MD

Practice address

20680 Seneca Meadows Pkwy Ste 217
Germantown, MD 20876-7029

Phone

(301) 569-6326

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quince Orchard Psychotherapy LLC

  • Psychiatry Physician
  • Rockville, MD
  • NPI 1336670389

  Clinical, DC

  Medicare reassignment Care Compare group NPD
• Oasis the Mental Health Center, LLC

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1174606057

  DC

  Medicare reassignment NPD
• Greater Baltimore Counseling Center, LLC

  • Clinical Psychologist
  • Glen Burnie, MD
  • NPI 1376616938
  NPD (past)
• Healthy Synergy Psychological Services, LLC

  • Clinical Psychologist
  • Germantown, MD
  • NPI 1184970733
  NPD (past)
• Healthy Synergy Psychological Services, LLC

  • Clinical Psychologist
  • Germantown, MD
  • NPI 1578933206
  NPD (past)
• Oasis the Mental Health Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Annapolis, MD
  • NPI 1467309138

  Clinical

  NPD (past)
• Quince Orchard Psychotherapy LLC

  • Clinical Social Worker
  • Nottingham, MD
  • NPI 1619895844
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1437708146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20680 SENECA MEADOWS PKWY STE 217",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20680 SENECA MEADOWS PKWY STE 217",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767029",
            "telephone_number": "301-569-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A0465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Progress Clinical Services
• Kathleen Ruth Pechan
• Sheila Janice Peddrew, CRNA
• Pediatric Health Partners
• Pediatrix Medical Group of the Mid-Atlantic PC
• Carine Pena
• Matthew Philip Pendergrass, DDS
• Eric Penner
• Andrea Amelia Pennington, MD
• Liza Tairanis Perdomo Alvarez, BEHAVIOR ASSISTANT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.