Active NPI
John Patton
- Clinical Psychologist
- Forestville, MD
National Provider Identifier
1497207369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05860
- Practice address
- 7610 Pennsylvania Ave
203
Forestville, MD 20747-4701 - Phone
- (301) 420-1972
- Fax
- (307) 420-1973
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- 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 | 05860 | MD | Primary |
Addresses
Primary practice location
7610 Pennsylvania Ave
203
Forestville, MD 20747-4701
Mailing address
7610 Pennsylvania Ave
203
Forestville, MD 20747-4701
Phone (301) 420-1972
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 |
|---|---|---|---|
| 05860 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Psychological Assessment Services LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- National Harbor, MD
- NPI 1508602384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1497207369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 PENNSYLVANIA AVE",
"address_2": "203",
"city": "FORESTVILLE",
"state": "MD",
"postal_code": "207474701",
"telephone_number": "301-420-1972",
"fax_number": "307-420-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 PENNSYLVANIA AVE",
"address_2": "203",
"city": "FORESTVILLE",
"state": "MD",
"postal_code": "207474701",
"telephone_number": "301-420-1972",
"fax_number": "307-420-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forestville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.