Arielle Shugoll PSYD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ARIELLE SHUGOLL PSYD LLC

Practice address

8737 Colesville Rd Ste 304
Silver Spring, MD 20910-3921

Phone

(240) 780-8572

NPI assigned

Oct 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Arielle Gesa Shugoll, PSYDNPI 1275884512

Title

Licensed Psychologist

Phone

(240) 780-8572

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Arielle Gesa Shugoll, PSY.D.

  • Clinical Psychologist
  • Silver Spring, MD
  • NPI 1275884512

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1568003085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 HERMITAGE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022870",
            "telephone_number": "301-412-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 COLESVILLE RD STE 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103921",
            "telephone_number": "240-780-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIELLE SHUGOLL PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "SHUGOLL",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_middle_name": "GESA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "240-780-8572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984025700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.