Amy Kiernan Conrad, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810004085 Issued in VA

Practice address

4860 S Palmer Rd
Bethesda, MD 20889-5649

Phone

(301) 319-3600

NPI assigned

Jan 29, 2009

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1659519528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WINDSOR RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071025",
            "telephone_number": "571-344-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 S PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895649",
            "telephone_number": "301-319-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "AMY",
        "middle_name": "KIERNAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810004085",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya M Conley, MD
• Katherine Emma Connell, AG-ACNP
• Jacqueline Connelly, RN
• Mark Connors, M.D.
• Alexis Conrad, PTA
• Anna Kokkalis Conrey, MSN, RN, CCRN, CRNP
• Kathleen Anne Conry-Cantilena, M.D.
• Gregory E Constable, PHARMD
• Gregory Constantine, MD
• Contemporary Womens' Health Care

• Clinical Neuropsychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Neuropsychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.