Individual provider Active NPI

Alexey Tolchinsky, PSY.D.

  • Psychologist
  • Wheaton, MD
National Provider Identifier
1710396510
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05705 Issued in MD
Practice address
11303 Amherst Ave Ste 1
Wheaton, MD 20902-4600
Phone
(301) 919-9259
Fax
(301) 933-0118
NPI assigned
Aug 5, 2014
Last updated
May 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05705 MD Primary

Addresses

Primary practice location

11303 Amherst Ave Ste 1
Wheaton, MD 20902-4600

Mailing address

11303 Amherst Ave Ste 1
Wheaton, MD 20902-4600
Phone (301) 919-9259

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
I20160617001815 DC Practitioner - Clinical Psychologist 3779874961 Reassigns benefits to 1 organization
Practice locations: Gaithersburg, MD; Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11303 Amherst Ave
Suite 1
Silver Spring, MD 20902-4600
Phone (301) 919-9259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05705MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 26, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince May 26, 2016 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1710396510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE STE 1",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "301-919-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE STE 1",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "301-919-9259",
            "fax_number": "301-933-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLCHINSKY",
        "first_name": "ALEXEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

Verify at the official NPI Registry.