Active NPI
Carola Merla Jobe, PSYD
- Clinical Psychologist
- Bowie, MD
National Provider Identifier
1619200821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04762
- Practice address
- 3231 Superior LN
Ste A5
Bowie, MD 20715-1939 - Phone
- (301) 306-4590
- NPI assigned
- Sep 8, 2009
- Last updated
- Feb 27, 2019
- 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 | 04762 | MD | Primary |
Addresses
Primary practice location
3231 Superior LN
Ste A5
Bowie, MD 20715-1939
Mailing address
3231 Superior LN
Ste A5
Bowie, MD 20715-1939
Phone (301) 306-4590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111230000067 | DC | Practitioner - Clinical Psychologist | 8729254412 | Practice locations: Bowie, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3231 Superior LN
Suite A5
Bowie, MD 20715-1939
Phone (703) 220-8876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04762 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth Connections LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Largo, MD
- NPI 1699229021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1619200821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 SUPERIOR LN",
"address_2": "STE A5",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151939",
"telephone_number": "301-306-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 SUPERIOR LN",
"address_2": "STE A5",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151939",
"telephone_number": "301-306-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBE",
"first_name": "CAROLA",
"middle_name": "MERLA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
- Samira Jinaidu
- JL3 Enterprises LLC (Fyzical Therapy and Balance Center)
- JMJ Health Care Services, LLC
- JMJC Infusion Care Center LLC
- Joan L Murphy LLC
- Marlon J John
- Johns Hopkins Community Physicians (JHCP - 17001 Science Dr)
- Johns Hopkins Community Physicians (JHCP - 17001 Science Drive STE 102)
- Johns Hopkins University (Jhu - 17001 Science Dr Ste 102 - Provider Type 20)
- Leslie Johns, D. P. T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.