Ellen C Klosson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1693 Issued in MD

Practice address

13418 Rippling Brook Dr
Silver Spring, MD 20906-5316

Phone

(301) 871-7742

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1700096872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13418 RIPPLING BROOK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065316",
            "telephone_number": "301-871-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13418 RIPPLING BROOK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065316",
            "telephone_number": "301-871-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSSON",
        "first_name": "ELLEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MD",
            "license": "1693",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan T. Klein, PHD
• Bradford A Kleinman, M.D.
• Cynthia Fay Kleppinger, M.D.
• Kliens Educational & Health Care Services, Inc.
• Karin Louise Klingman, MD
• Sarah E Klotz, LPGC
• Nancy Ann Kluge, PH.D., LCPC
• Kma Health Services MD, Inc.
• Melanie Kmetz, OTR/L
• Walter Seaburn Knauff, LGSW

• Clinical Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.

Verify at the official NPI Registry.