John Gotlewski, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04128 Issued in MD

Practice address

707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983

Phone

(301) 208-1032

Fax

(877) 497-1029

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1548382005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19324 CISSEL MANOR DR",
            "city": "POOLESVILLE",
            "state": "MD",
            "postal_code": "208372500",
            "telephone_number": "301-801-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CONSERVATION LN STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782983",
            "telephone_number": "301-208-1032",
            "fax_number": "877-497-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLEWSKI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Charles Gordon, DDS
• Elsie Managbanag Gordon, PH.D.
• Erika L Gordon, MSW
• Leonard Steven Gordon, D.D.S.
• Taja Gordon
• Herbert Bennett Gould, M.D.
• Bryan Gover, D.D.S.
• Grace Hand Incorporated
• Grace International Services LLC
• Stephen Grace, DDS

• Clinical Psychologist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.