Active NPI
Krista Lynn Beyer, PSY.D.
- Clinical Psychologist
- Gaithersburg, MD
National Provider Identifier
1508037235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04257
- Practice address
- 220 Main St
2ND Floor
Gaithersburg, MD 20878-5471 - Phone
- (240) 812-2925
- NPI assigned
- Mar 20, 2008
- 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 | 04257 | MD | Primary |
Addresses
Primary practice location
220 Main St
2ND Floor
Gaithersburg, MD 20878-5471
Mailing address
17716 Doctor Walling Rd
Poolesville, MD 20837-2402
Phone (240) 812-2925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04257 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1508037235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17716 DOCTOR WALLING RD",
"city": "POOLESVILLE",
"state": "MD",
"postal_code": "208372402",
"telephone_number": "240-812-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MAIN ST",
"address_2": "2ND FLOOR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785471",
"telephone_number": "240-812-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "KRISTA",
"middle_name": "LYNN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.