Active NPI
Sonya Adamo, PSY.D.
- Clinical Psychologist
- Laurel, MD
National Provider Identifier
1750377156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03611
- Practice address
- 14440 Cherry Lane CT
#203
Laurel, MD 20707-4946 - Phone
- (301) 776-8080
- Fax
- (301) 920-1929
- NPI assigned
- Sep 22, 2005
- Last updated
- Dec 22, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03611 | MD | Primary |
Addresses
Primary practice location
14440 Cherry Lane CT
#203
Laurel, MD 20707-4946
Mailing address
14440 Cherry Lane CT
#203
Laurel, MD 20707-4946
Phone (301) 776-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 767200400 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081028000292 | DC | Practitioner - Clinical Psychologist | 8022176593 | Practice locations: Bowie, MD; Laurel, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14440 Cherry Lane CT
Suite 203
Laurel, MD 20707-4946
Phone (301) 776-8080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03611 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1750377156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14440 CHERRY LANE CT",
"address_2": "#203",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074946",
"telephone_number": "301-776-8080",
"fax_number": "301-920-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14440 CHERRY LANE CT",
"address_2": "#203",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074946",
"telephone_number": "301-776-8080",
"fax_number": "301-920-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMO",
"first_name": "SONYA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767200400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.