Organization Active NPI

SJM Psychology, LLC

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1609537497
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SJM PSYCHOLOGY, LLC
Practice address
402 King Farm Blvd
Suite 125-136
Rockville, MD 20850-5843
Phone
(202) 573-9297
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Simone Jalon-Main, PSY.D.NPI 1740703313
Title
Licensed Clinical Psychologist
Phone
(202) 573-9297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

402 King Farm Blvd
Suite 125-136
Rockville, MD 20850-5843

Mailing address

402 King Farm Blvd
Suite 125-136
Rockville, MD 20850-5843

National Provider Directory

National Provider Directory

Locations

402 King Farm Blvd
Ste 125136
Rockville, MD 20850
Phone (202) 573-9297

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1609537497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD",
            "address_2": "SUITE 125-136",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD",
            "address_2": "SUITE 125-136",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505843",
            "telephone_number": "202-573-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJM PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "JALON-MAIN",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-573-9297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Nov 30, 2022; 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.