Organization Active NPI

Laracy Psychotherapy, LLC

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1548747140
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05290 Issued in MD
Legal business name
LARACY PSYCHOTHERAPY, LLC
Practice address
6917 Arlington Rd Ste 303
Bethesda, MD 20814-5288
Phone
(240) 630-8435
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Dr. Margaret Laracy, PSYDNPI 1245574987
Title
Psychologist
Phone
(240) 630-8435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 05290 MD Primary

Addresses

Primary practice location

6917 Arlington Rd Ste 303
Bethesda, MD 20814-5288

Mailing address

11004 Sugarbush Ter
Rockville, MD 20852-3240
Phone (201) 988-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180814003694 DC Part B Supplier - Clinic/Group Practice 3971852658 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD
O20241203001463 IL Part B Supplier - Clinic/Group Practice 3971852658 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, IL

National Provider Directory

National Provider Directory

Locations

101 N Marion St
Ste 308
Oak Park, IL 60301
Phone (201) 988-6530

6917 Arlington Rd
Ste 303
Bethesda, MD 20814
Phone (240) 630-8435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1548747140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11004 SUGARBUSH TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523240",
            "telephone_number": "201-988-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD STE 303",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145288",
            "telephone_number": "240-630-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARACY PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "LARACY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "240-630-8435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.