Organization Active NPI

Elaine Klionsky, J.D., PH.D., Inc

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1457575755
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03260 Issued in MD
Legal business name
ELAINE KLIONSKY, J.D., PH.D., INC
Practice address
4809 St. Elmo Avenue
Bethesda, MD 20814
Phone
(301) 641-8406
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. Elaine J Klionsky, PH.D.NPI 1407079213
Title
Licensed Psychologist
Phone
(301) 641-8406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 03260 MD Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1826 DC

Addresses

Primary practice location

4809 St. Elmo Avenue
Bethesda, MD 20814

Mailing address

3629 Chevy Chase Lake Drive
Chevy Chase, MD 20815
Phone (301) 641-8406

Other names 1

  • Elaine Klionsky, J.D., Ph.D., LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4809 Saint Elmo Ave
Bethesda, MD 20814
Phone (301) 641-8406

6917 Arlington Rd
Ste 223
Bethesda, MD 20814
Phone (301) 456-5467

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1457575755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 CHEVY CHASE LAKE DRIVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-641-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ST. ELMO AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-641-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE KLIONSKY, J.D., PH.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "KLIONSKY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-641-8406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03260",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DC",
            "license": "1826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elaine Klionsky, J.D., Ph.D., LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.