Dorothy A Tracey Rusin, PH D
Individual provider Active NPI Clinical Psychologist · Boyds, MD
NPI 1528154358 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1528154358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 925 (MD)
- Practice address
- 20001 Bucklodge Rd
Boyds, MD 20841-9600 - Phone
- (240) 731-7431
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9077 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 977-0150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100419000716 | DC | Practitioner - Clinical Psychologist | 5294862538 | Practice locations: Gaithersburg, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 925 | MD | Yes |
Addresses
Primary practice location
20001 Bucklodge Rd
Boyds, MD 20841-9600
Mailing address
20001 Bucklodge Rd
Boyds, MD 20841-9600
Phone (240) 731-7431
Other providers in Boyds, MD
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- Christine C Thron
- Ayeshata Enna Turay Sinlah
- Valery Welles Turner
- Jill M Walker
- Natalie Mary Watkins
- Shymere Williams
All providers in Boyds, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.