Organization Active NPI

Montrose View Psychotherapy Associates

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1598916728
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2128 Issued in MD
Legal business name
MONTROSE VIEW PSYCHOTHERAPY ASSOCIATES
Practice address
6339 Executive Blvd
Rockville, MD 20852-3905
Phone
(301) 881-4884
Fax
(301) 881-5447
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Molly Perkins Hauck, PH.D.
Title
President
Phone
(301) 881-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2128 MD Primary

Addresses

Primary practice location

6339 Executive Blvd
Rockville, MD 20852-3905

Mailing address

6339 Executive Blvd
Rockville, MD 20852-3905
Phone (301) 881-4884

Other identifiers 1

IdentifierTypeStateIssuer
101600800MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1598916728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "301-881-4884",
            "fax_number": "301-881-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "301-881-4884",
            "fax_number": "301-881-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE VIEW PSYCHOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "HAUCK",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "PERKINS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101600800",
            "state": "MD"
        }
    ],
    "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 Oct 9, 2008; 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.