Jennifer Lanuzga Kalish, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06937 Issued in MD

Practice address

7007 Bradley Blvd
Bethesda, MD 20817-2149

Phone

(301) 767-1733

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 17, 2023 through Jul 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catholic Family Clinician Network

  dba Alpha Omega Clinic and Consultation Services

  • Community/Behavioral Health Agency
  • Bethesda, MD
  • NPI 1457749616
  NPD (past)
• Vital Sources, LLC

  • Clinical Psychologist
  • Frederick, MD
  • NPI 1770605321
  NPD (past)
• Immaculate Heart of Mary Counseling Center

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1982618328
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1487262838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820B WORMANS MILL RD",
            "address_2": "BX 239",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-450-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 BRADLEY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172149",
            "telephone_number": "301-767-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISH",
        "first_name": "JENNIFER",
        "middle_name": "LANUZGA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "06937",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noufoh Kakaye Bashorun
• Juyeon Kakazu
• Rachel Kalbeitzer, PHD
• Precious Kalejaiye
• Lori Michelle Kaler, MD
• Arjun Kalra, MD
• Carmel Elizabeth Kalunga, MA, PT
• Sara Reyes Kalyan
• Hellen Kamanga
• Charu Kamdar

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.