Individual provider Active NPI

Tammera Ann Schmalz, PH.D.

  • Clinical Psychologist
  • Prince Frederick, MD
National Provider Identifier
1740241132
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03373 Issued in MD
Practice address
130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015
Phone
(410) 535-2500
Fax
(410) 535-6030
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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 03373 MD Primary

Addresses

Primary practice location

130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015

Mailing address

130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015
Phone (410) 535-2500

Other identifiers 1

IdentifierTypeStateIssuer
833100600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050322000434 MD Practitioner - Clinical Psychologist 7214982370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Neurology and Behavioral Health LLCGroup PAC ID 2961893045, 2 clinicians

Practice addresses (Care Compare)

8191 Jennifer LN
Suite 200
Owings, MD 20736-3197
Phone 4105352500303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Neurology and Behavioral Health, LLC CurrentSince Apr 29, 2022 Accepting new patients
Heidi Daniels, PH.D., P.a. Clinical Past Accepting new patients

Locations

8191 Jennifer Ln
Ste 200
Owings, MD 20736
Phone (410) 535-2500

55 Stoakley Rd
Prnc Frederck, MD 20678
Phone (410) 414-5953

130 Hospital Rd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 535-2500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1740241132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-2500",
            "fax_number": "410-535-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-2500",
            "fax_number": "410-535-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALZ",
        "first_name": "TAMMERA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833100600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.