Active NPI
Randi Jean Wortman, PH.D.
- Psychologist
- Silver Spring, MD
National Provider Identifier
1447289558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02793
- Practice address
- 8630 Fenton St
Suite 320
Silver Spring, MD 20910-3806 - Phone
- (301) 661-3302
- Fax
- (301) 588-8848
- NPI assigned
- Jul 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 02793 | MD | Primary |
Addresses
Primary practice location
8630 Fenton St
Suite 320
Silver Spring, MD 20910-3806
Mailing address
8630 Fenton St
Suite 320
Silver Spring, MD 20910-3806
Phone (301) 661-3302
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02793 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Resolutions, LLC | Psychologist | 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
- Silver Spring, MD
- NPI 1184941171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1447289558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 320",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-661-3302",
"fax_number": "301-588-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 320",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-661-3302",
"fax_number": "301-588-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTMAN",
"first_name": "RANDI",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.