Individual provider Active NPI

Richard Leslie Ogden, PH.D.

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1710106323
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01297 Issued in MD
Practice address
4400 East-West Hwy
Suite 1028
Bethesda, MD 20814-4524
Phone
(301) 986-5499
Fax
(301) 907-3241
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 01297 MD Primary

Addresses

Primary practice location

4400 East-West Hwy
Suite 1028
Bethesda, MD 20814-4524

Mailing address

11112 Waycroft Way
Rockville, MD 20852-3217
Phone (301) 537-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000443 DC Practitioner - Clinical Psychologist 8628116134 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4400 E W Hwy
Suite 1028
Bethesda, MD 20814-4511
Phone (301) 986-5499

4400 East-West Hwy
Bethesda, MD 20814-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1710106323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 WAYCROFT WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523217",
            "telephone_number": "301-537-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 EAST-WEST HWY",
            "address_2": "SUITE 1028",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144524",
            "telephone_number": "301-986-5499",
            "fax_number": "301-907-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "RICHARD",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.