Active NPI
Catherine E. Graham, PSY.D.
- Clinical Psychologist
- Largo, MD
National Provider Identifier
1548484231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04344
- Practice address
- 9701 Apollo Dr
Suite 341
Largo, MD 20774-4783 - Phone
- (301) 237-0131
- Fax
- (301) 808-0943
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04344 | MD | Primary |
| Clinical Psychologist | 103TC0700X | PSY1000609 | DC | |
| Clinical Psychologist | 103TC0700X | PSY003113 | GA |
Addresses
Primary practice location
9701 Apollo Dr
Suite 341
Largo, MD 20774-4783
Mailing address
9701 Apollo Dr
Suite 341
Largo, MD 20774-4783
Phone (301) 237-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 6, 2019 through Jun 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000609 | DC | MD | Clinical Psychologist |
| PSY003113 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Empowerment Group, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Largo, MD
- NPI 1619270246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292716800000",
"number": "1548484231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 APOLLO DR",
"address_2": "SUITE 341",
"city": "LARGO",
"state": "MD",
"postal_code": "207744783",
"telephone_number": "301-237-0131",
"fax_number": "301-808-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 APOLLO DR",
"address_2": "SUITE 341",
"city": "LARGO",
"state": "MD",
"postal_code": "207744783",
"telephone_number": "301-237-0131",
"fax_number": "301-808-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CATHERINE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2010-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04344",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000609",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003113",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2010; 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.