Tammy Langley-Prout, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

07173 Issued in MD

Practice address

1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599

Phone

(443) 203-9103

NPI assigned

Mar 4, 2015

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vine Psychological Services, LLC

  • Clinical Psychologist
  • Annapolis, MD
  • NPI 1669203303
  NPD Authorized official

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1598157257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 TOWNE CENTRE BLVD STE 250",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013599",
            "telephone_number": "443-203-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 TOWNE CENTRE BLVD STE 250",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013599",
            "telephone_number": "443-203-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY-PROUT",
        "first_name": "TAMMY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "07173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Wesley Lang, PHYSICIAN ASSISTANT
• David G Lange, MD
• Anneke Langenhoven
• Heather Denise Langford, MA, CCC-SLP
• Julie Mikhail Langguth, DMD, MS
• Kennedi Lango
• Monique Yvette Langston, D.O.
• Jacqueline Koubek Lanier, LCSW-C
• Thomas B. Lank, M.D.
• Deborah Ruth Lantz, MS

• Clinical Psychologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.