Active NPI
Penelope Brindley, PH.D
- Clinical Psychologist
- Laurel, MD
National Provider Identifier
1770517161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3901
- Practice address
- 3640 Marcey Creek Rd
Laurel, MD 20724-1915 - Phone
- (410) 707-0181
- Fax
- (410) 552-9881
- NPI assigned
- Jul 10, 2006
- 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 | 3901 | MD | Primary |
Addresses
Primary practice location
3640 Marcey Creek Rd
Laurel, MD 20724-1915
Mailing address
3640 Marcey Creek Rd
Laurel, MD 20724-1915
Phone (410) 707-0181
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090716000214 | MD | Practitioner - Clinical Psychologist | 4688623507 | Practice locations: Laurel, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3640 Marcey Creek Rd
Laurel, MD 20724-1915
Phone (410) 707-0181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3901 | MD | MD | Clinical Psychologist |
| 03901 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1770517161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 MARCEY CREEK RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207241915",
"telephone_number": "410-707-0181",
"fax_number": "301-460-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MARCEY CREEK RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207241915",
"telephone_number": "410-707-0181",
"fax_number": "410-552-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINDLEY",
"first_name": "PENELOPE",
"name_prefix": "Ms.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "3901",
"primary": true
}
],
"identifiers": [],
"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 Jun 24, 2008; 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.