Matthew Edmond Fitzgerald, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1001067 Issued in DC

Practice address

6801 Oak Hall LN # 2254
Columbia, MD 21045-9998

Phone

(202) 455-6124

NPI assigned

Jun 11, 2015

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Inpsych, LLC

  • Clinical Psychologist
  • Columbia, MD
  • NPI 1811596067
  NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1467833798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 OAK HALL LN # 2254",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210459998",
            "telephone_number": "202-455-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 OAK HALL LN # 2254",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210459998",
            "telephone_number": "202-455-6124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Connecticut Ave NW",
            "address_2": "Suite 825",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361722",
            "country_code": "US",
            "telephone_number": "202-470-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MATTHEW",
        "middle_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay V. Fitch-Alexander, MD
• Ambria Fitzgerald
• Ashley Rose Fitzgerald, RD
• Daria Lynn Fitzgerald, RN
• Erin Fitzgerald, LCPC
• Deborah Watson Fitzpatrick, M.D.
• Grace Fitzpatrick, FNP-C
• Elizabeth Fitzwater, RBT
• Leah Michele Flamm
• Maureen E Flanagan, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.