Active NPI
Heather Elizabeth Dark, PHD, LP
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1487478186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 07350
- Practice address
- 525 N Wolfe St
Baltimore, MD 21205-2110 - Phone
- (410) 955-4766
- NPI assigned
- Nov 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 07350 | MD | Primary |
| Clinical Psychologist | 103TC0700X | 0810008719 | VA |
Addresses
Primary practice location
525 N Wolfe St
Baltimore, MD 21205-2110
Mailing address
525 N Wolfe St
Baltimore, MD 21205-2110
Other practice location 1
5550 Friendship Blvd Ste 590
Chevy Chase, MD 20815-7310
Phone (410) 757-2077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1511 Ritchie Hwy
Suite 202
Arnold, MD 21012
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008719 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1487478186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052110",
"telephone_number": "410-955-4766"
}
],
"practiceLocations": [
{
"address_1": "5550 Friendship Blvd Ste 590",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208157310",
"country_code": "US",
"telephone_number": "410-757-2077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARK",
"first_name": "HEATHER",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "07350",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.