Active NPI
Kristina Stannard, PSY.D
- Psychologist
- Ijamsville, MD
National Provider Identifier
1639939291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05794
- Practice address
- 2721 Loch Haven Dr
Ijamsville, MD 21754-8815 - Phone
- (240) 793-5246
- NPI assigned
- Mar 20, 2024
- Last updated
- Mar 20, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05794 | MD | Primary |
Addresses
Primary practice location
2721 Loch Haven Dr
Ijamsville, MD 21754-8815
Mailing address
2721 Loch Haven Dr
Ijamsville, MD 21754-8815
Phone (301) 468-6238
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05794 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1639939291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 LOCH HAVEN DR",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217548815",
"telephone_number": "301-468-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 LOCH HAVEN DR",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217548815",
"telephone_number": "240-793-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANNARD",
"first_name": "KRISTINA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ijamsville, MD
- Select Physical Therapy Holdings, Inc. (NovaCare Rehabilitation)
- Nabila Shad, M.D.
- Caitlin Shapiro, LCSW, LCSW-C
- Spectrum of Hope, LLC
- Spring Oak Psychological Services Group LLC
- Anne Thomas
- Urbana Gi Endoscopy Center, LLC
- Andrew Stephen Vaky, D.C.
- Valley Physical Therapy LLC
- Susan Kay Vonk, APRN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.