Kenneth Reimer, PSY.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

06891 Issued in MD

Practice address

7825 Tuckerman LN Ste 209
Potomac, MD 20854-3241

Phone

(301) 965-0427

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Developmental Psychology Services, LLC

  • Psychologist
  • Silver Spring, MD
  • NPI 1942151683
  NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1528753670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 DEAN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065138",
            "telephone_number": "301-965-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 TUCKERMAN LN STE 209",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543241",
            "telephone_number": "301-965-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "06891",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": "06891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "06891",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Elena Rasines
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• Rediclinic of MD, LLC
• Lothlorien Sol Redmond
• Regenmd LLC
• Joel Alvin Reiskin, M.D.
• Relive in-Home Physical Therapy LLC
• Rempro Sleep Solutions
• Maria Jose Rendon, PH.D.
• Sharim Benazir Reyes

• Clinical Child & Adolescent Psychologist in Potomac, MD
• Providers in Potomac, MD by specialty
• Clinical Child & Adolescent Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.