Individual provider Active NPI

Catherine E. Graham, PSY.D.

  • Clinical Psychologist
  • Largo, MD
National Provider Identifier
1548484231
Registry record updated Dec 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04344 Issued in MD
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

Updated by the provider on Dec 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY1000609DCMDClinical Psychologist
PSY003113GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.