Active NPI
Lily Irwin
- School Psychologist
- Rockville, MD
National Provider Identifier
1699578518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 29742
- Practice address
- 850 Hungerford Dr
Rockville, MD 20850-1718 - Phone
- (240) 740-5630
- NPI assigned
- Mar 27, 2025
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 29742 | MD | Primary |
Addresses
Primary practice location
850 Hungerford Dr
Rockville, MD 20850-1718
Mailing address
14 Windbrooke Cir
Gaithersburg, MD 20879-3248
Phone (910) 315-3959
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 |
|---|---|---|---|
| 29742 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1699578518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WINDBROOKE CIR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793248",
"telephone_number": "910-315-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HUNGERFORD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501718",
"telephone_number": "240-740-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "LILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "29742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.