Active NPI
Kristin Alyce Riekert, PHD
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1609057827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03783
- Practice address
- 5501 Hopkins Bayview Cir
Jhaac 4B.72
Baltimore, MD 21224-6821 - Phone
- (410) 550-7755
- Fax
- (410) 550-2612
- NPI assigned
- Nov 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03783 | MD | Primary |
Addresses
Primary practice location
5501 Hopkins Bayview Cir
Jhaac 4B.72
Baltimore, MD 21224-6821
Mailing address
5501 Hopkins Bayview Cir
Jhaac 4B.72
Baltimore, MD 21224-6821
Phone (410) 550-7755
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03783 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1609057827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 HOPKINS BAYVIEW CIR",
"address_2": "JHAAC 4B.72",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212246821",
"telephone_number": "410-550-7755",
"fax_number": "410-550-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 HOPKINS BAYVIEW CIR",
"address_2": "JHAAC 4B.72",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212246821",
"telephone_number": "410-550-7755",
"fax_number": "410-550-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEKERT",
"first_name": "KRISTIN",
"middle_name": "ALYCE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.