Individual provider Active NPI

Clarissa Margaret Zies

  • Psychologist
  • Rockville, MD
National Provider Identifier
1518655216
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
11821 Parklawn Dr Ste 220
Rockville, MD 20852-2539
Phone
(301) 453-5162
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

11821 Parklawn Dr Ste 220
Rockville, MD 20852-2539

Mailing address

4107 Brickell Dr Apt 202
Fairfax, VA 22033-4356
Phone (703) 231-7747

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Clinical Services LLC CurrentSince May 7, 2023 Accepting new patients

Locations

11821 Parklawn Dr
Ste 220
Rockville, MD 20852
Phone (301) 453-5162

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1518655216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 BRICKELL DR APT 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334356",
            "telephone_number": "703-231-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 PARKLAWN DR STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522539",
            "telephone_number": "301-453-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIES",
        "first_name": "CLARISSA",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.