Active NPI
Amber Ricks, PSY.D.
- Psychologist
- Rockville, MD
National Provider Identifier
1578028817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05983
- Practice address
- 12301 Academy Way
Rockville, MD 20852-2000 - Phone
- (301) 761-2767
- Fax
- (301) 881-8043
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1001362 | DC | |
| School Psychologist | 103TS0200X | 944467 | NJ | |
| Psychologist | 103T00000X | 05983 | MD | Primary |
Addresses
Primary practice location
12301 Academy Way
Rockville, MD 20852-2000
Mailing address
8715 1St Ave Apt 401D
Silver Spring, MD 20910-3533
Phone (315) 746-0573
Other practice location 1
3000 Connecicut Ave. NW
Suite 301
Washington, DC 20008
Phone (315) 746-0573
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 |
|---|---|---|---|
| 1001362 | DC | MD | Psychologist |
| 944467 | NJ | MD | School Psychologist |
| 05983 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1578028817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8715 1ST AVE APT 401D",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103533",
"telephone_number": "315-746-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 ACADEMY WAY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522000",
"telephone_number": "301-761-2767",
"fax_number": "301-881-8043"
}
],
"practiceLocations": [
{
"address_1": "3000 Connecicut Ave. NW",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20008",
"country_code": "US",
"telephone_number": "315-746-0573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKS",
"first_name": "AMBER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "1001362",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NJ",
"license": "944467",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.