Kentlands Psychotherapy, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KENTLANDS PSYCHOTHERAPY, LLC

Practice address

301 Inspiration LN FL 2
Gaithersburg, MD 20878-5817

Phone

(240) 252-3349

Fax

(240) 477-5265

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth C. Carr, PSYD

Title

Owner

Phone

(240) 252-3349

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Burleson, PH.D.

  • Psychologist
  • Gaithersburg, MD
  • NPI 1588308290
  NPD
• Nicole Beane

  • Clinical Social Worker
  • Gaithersburg, MD
  • NPI 1023368131
  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1770122145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 INSPIRATION LN FL 2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785817",
            "telephone_number": "240-252-3349",
            "fax_number": "240-477-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 INSPIRATION LN FL 2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785817",
            "telephone_number": "240-252-3349",
            "fax_number": "240-477-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTLANDS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-252-3349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentlands Dental and Orhodontic Group Inc
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• Kentlands Medical Associates P.C
• Kentlands Optometry, LLC
• Kentlands Pediatrics, LLC
• Babatunde Awwal Keshinro, PHARM D
• Pelin Keskin
• Charles Jeffry Kessler, MD
• Kessous & Kessous MD PC
• Efraim Kessous, MD

• Clinical Psychologist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.