Active NPI
Becker Psychological Services Inc.
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1609030295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04379
- Legal business name
- BECKER PSYCHOLOGICAL SERVICES INC.
- Practice address
- 804 Pershing Dr
Suite 004
Silver Spring, MD 20910 - Phone
- (301) 588-3088
- NPI assigned
- Jul 14, 2008
- Last updated
- May 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara E Carter
- Title
- Billing/Office Manager
- Phone
- (142) 725-8062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04379 | MD | Primary |
Addresses
Primary practice location
804 Pershing Dr
Suite 004
Silver Spring, MD 20910
Mailing address
804 Pershing Dr Ste 4
Silver Spring, MD 20910-4436
Phone (301) 385-8830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064639300 | Medicaid | MD |
Other names 1
- Noble Investment Group
National Provider Directory
National Provider Directory- Tax ID family
- Becker Psychological Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Missouri City, TX
- NPI 1700162856
Locations
804 Pershing Dr
Ste 4
Silver Spring, MD 20910
Phone (301) 585-0859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526688000000",
"number": "1609030295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 PERSHING DR STE 4",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104436",
"telephone_number": "301-385-8830",
"fax_number": "301-588-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 PERSHING DR",
"address_2": "SUITE 004",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20910",
"telephone_number": "301-588-3088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKER PSYCHOLOGICAL SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2018-05-19",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "BILLING/OFFICE MANAGER",
"authorized_official_telephone_number": "142-725-8062",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064639300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Noble Investment Group",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.