Individual provider Active NPI

Molly Perkins Hauck, PH.D.

  • Clinical Psychologist
  • Kensington, MD
National Provider Identifier
1770646465
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02128 Issued in MD
Practice address
3900 Decatur Ave
Kensington, MD 20895-1531
Phone
(301) 881-4884
Fax
(301) 881-5447
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 02128 MD Primary
Psychologist 103T00000X 02128 MD

Addresses

Primary practice location

3900 Decatur Ave
Kensington, MD 20895-1531

Mailing address

3900 Decatur Ave
Kensington, MD 20895-1531
Phone (301) 949-0178

Other identifiers 1

IdentifierTypeStateIssuer
101600800MedicaidMD

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
I20090212000016 DC Practitioner - Clinical Psychologist 3173568789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 Decatur Ave
Kensington, MD 20895-1531

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02128MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Perkins Hauck, PH.D., LLC Psychologist CurrentSince Oct 14, 2013 Accepting new patients
Montrose View Psychotherapy Associates, LLC Clinical PastSince Jan 1, 1990 Accepting new patients

Locations

6209 Executive Blvd
Rockville, MD 20852
Phone (240) 426-8344

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1770646465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 DECATUR AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951531",
            "telephone_number": "301-949-0178",
            "fax_number": "301-881-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DECATUR AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951531",
            "telephone_number": "301-881-4884",
            "fax_number": "301-881-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "MOLLY",
        "middle_name": "PERKINS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02128",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101600800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.