Active NPI
Nancy Ellen Ingraham, PSY.D.
- Psychologist
- Chevy Chase, MD
National Provider Identifier
1659452423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810003380
- Practice address
- 4701 Willard Ave Ste 204
Chevy Chase, MD 20815-4607 - Phone
- (202) 491-1376
- Fax
- (301) 656-3437
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810003380 | VA | Primary |
| Clinical Psychologist | 103TC0700X | 04616 | MD | |
| Clinical Psychologist | 103TC0700X | PSY100330 | DC |
Addresses
Primary practice location
4701 Willard Ave Ste 204
Chevy Chase, MD 20815-4607
Mailing address
4701 Willard Ave Ste 204
Chevy Chase, MD 20815-4607
Phone (202) 491-1376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 20, 2017 through Jun 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003380 | VA | MD | Psychologist |
| PSY100330 | DC | MD | Clinical Psychologist |
| 04616 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1659452423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 WILLARD AVE STE 204",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154607",
"telephone_number": "202-491-1376",
"fax_number": "301-656-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 WILLARD AVE STE 204",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154607",
"telephone_number": "202-491-1376",
"fax_number": "301-656-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAHAM",
"first_name": "NANCY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810003380",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04616",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY100330",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
- Iman Ollie Hypolite, MD
- Imaging Technology Associates LLC
- Inclusive Care Services LLC
- Kristina Indriksons, PT
- Kenneth A Ingber, DMD
- Inpresent Psychiatry PC
- Integrated Dermatology of Chevy Chase, LLC
- Integrative Acupuncture & Wellness
- Internal Medicine Center PA
- Internal Medicine of Chevy Chase, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.