Active NPI
Kenya Anita Ford
- Clinical Psychologist
- Hyattsville, MD
National Provider Identifier
1699498386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 200001355
- Practice address
- 5557 Baltimore Ave Ste 500-2224
Hyattsville, MD 20781-1922 - Phone
- (443) 639-4411
- NPI assigned
- Sep 19, 2022
- Last updated
- Jul 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 200001355 | DC | Primary |
Addresses
Primary practice location
5557 Baltimore Ave Ste 500-2224
Hyattsville, MD 20781-1922
Mailing address
5557 Baltimore Ave Ste 500-2224
Hyattsville, MD 20781-1922
Phone (443) 639-4411
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 |
|---|---|---|---|
| 200001355 | DC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warr Family Group 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.
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- Mental Health Counselor
- Columbia, MD
- NPI 1205546165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1699498386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5557 BALTIMORE AVE STE 500-2224",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811922",
"telephone_number": "443-639-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5557 BALTIMORE AVE STE 500-2224",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811922",
"telephone_number": "443-639-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KENYA",
"middle_name": "ANITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "200001355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.