Individual provider Active NPI

Carleen Graham Schwimmer, PSY.D.

  • Clinical Neuropsychologist
  • Washington, MD
National Provider Identifier
1568953370
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
05743 Issued in MD
Practice address
Veterans Affairs War Related Illness & Injury (Wriisc)
50 Irving Street NW
Washington, MD 20707
Phone
(202) 745-8000
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 05743 MD Primary

Addresses

Primary practice location

Veterans Affairs War Related Illness & Injury (Wriisc)
50 Irving Street NW
Washington, MD 20707

Mailing address

14120 W Side Blvd Apt 305
Laurel, MD 20707-6219
Phone (860) 558-6052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925002462 MD Practitioner - Clinical Psychologist 1052662384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

5051 Greenspring Ave
Baltimore, MD 21209-4354
Phone (410) 601-9513

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Aug 6, 2018 Accepting new patients

Locations

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 300
Baltimore, MD 21209
Phone (410) 601-1900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1568953370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 W SIDE BLVD APT 305",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076219",
            "telephone_number": "860-558-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS AFFAIRS WAR RELATED ILLNESS & INJURY (WRIISC)",
            "address_2": "50 IRVING STREET NW",
            "city": "WASHINGTON",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "202-745-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIMMER",
        "first_name": "CARLEEN",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "05743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MD

Sources for this page

Verify at the official NPI Registry.