Active NPI
Virginia Samford Hornbeck
- Psychologist
- Baltimore, MD
National Provider Identifier
1568020543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04415
- Practice address
- 1400 W Cold Spring LN
Baltimore, MD 21209-4904 - Phone
- (410) 591-3912
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 04415 | MD | Primary |
Addresses
Primary practice location
1400 W Cold Spring LN
Baltimore, MD 21209-4904
Mailing address
708 Saint Johns Rd
Baltimore, MD 21210-2134
Phone (410) 433-7628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04415 | Other | MD | STATE OF MD, DEPT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vhornbeck@bcps.k12.md.us | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04415 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1568020543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 SAINT JOHNS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102134",
"telephone_number": "410-433-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W COLD SPRING LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094904",
"telephone_number": "410-591-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBECK",
"first_name": "VIRGINIA",
"middle_name": "SAMFORD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MD, DEPT OF HEALTH",
"identifier": "04415",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vhornbeck@bcps.k12.md.us",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1400 W Cold Spring Ln",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212094904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.