NPIMap

Organization Active NPI

Ida Sue Baron, PH.D., P.C.

  • Clinical Neuropsychologist
  • Reston, VA
National Provider Identifier
1497972376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
02300 Issued in MD
Legal business name
IDA SUE BARON, PH.D., P.C.
Practice address
1830 Town Center Dr
Reston, VA 20190-3292
Phone
(301) 340-2119
Fax
(301) 340-2119
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ida Sue Baron, PH.D.NPI 1225255102
Title
President
Phone
(301) 340-2119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 02300 MD Primary

Addresses

Primary practice location

1830 Town Center Dr
Reston, VA 20190-3292

Mailing address

10116 Weatherwood CT
Potomac, MD 20854-2173
Phone (301) 340-2119

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497972376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 WEATHERWOOD CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542173",
            "telephone_number": "301-340-2119",
            "fax_number": "301-340-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "301-340-2119",
            "fax_number": "301-340-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA SUE BARON, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-340-2119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "02300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.