Active NPI
Jennifer L Carter, PSY.D.
- Clinical Psychologist
- Frederick, MD
National Provider Identifier
1487766788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03813
- Practice address
- 97 S McCain Dr # B
Frederick, MD 21703-6055 - Phone
- (240) 535-5360
- Fax
- (301) 972-2591
- NPI assigned
- Aug 31, 2006
- 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 | 03813 | MD | Primary |
Addresses
Primary practice location
97 S McCain Dr # B
Frederick, MD 21703-6055
Mailing address
97 S McCain Dr # B
Frederick, MD 21703-6055
Phone (240) 535-5360
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03813 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allan Lloyd Levy MD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pastoral Counselor
- Frederick, MD
- NPI 1104938539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246579200000",
"number": "1487766788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 S MCCAIN DR # B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036055",
"telephone_number": "240-535-5360",
"fax_number": "301-972-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 S MCCAIN DR # B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036055",
"telephone_number": "240-535-5360",
"fax_number": "301-972-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.