Active NPI
Rebecca Kauten, PHD
- Clinical Psychologist
- Gaithersburg, MD
National Provider Identifier
1477072866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05763
- Practice address
- 707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983 - Phone
- (301) 740-2900
- NPI assigned
- Sep 17, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05763 | MD | Primary |
Addresses
Primary practice location
707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983
Mailing address
14220 W Side Blvd Apt 103
Laurel, MD 20707-6232
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 |
|---|---|---|---|
| 05763 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505606400000",
"number": "1477072866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14220 W SIDE BLVD APT 103",
"city": "LAUREL",
"state": "MD",
"postal_code": "207076232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 CONSERVATION LN STE 300",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782983",
"telephone_number": "301-740-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUTEN",
"first_name": "REBECCA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-17",
"last_updated": "2017-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.