Individual provider Active NPI

Rebeca Rios, PH.D.

  • Psychologist
  • Silver Spring, MD
National Provider Identifier
1770896789
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05007 Issued in MD
Practice address
8630 Fenton St Ste 328
Silver Spring, MD 20910-3816
Phone
(301) 965-0284
NPI assigned
Jul 19, 2010
Last updated
Jun 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1001320 DC
Psychologist 103T00000X
Psychologist 103T00000X 05007 MD Primary

Addresses

Primary practice location

8630 Fenton St Ste 328
Silver Spring, MD 20910-3816

Mailing address

7211 16TH Ave
Takoma Park, MD 20912-7045
Phone (443) 449-3715

Other practice location 1

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone (301) 699-7700

Other practice location 2

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (480) 241-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1770896789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 16TH AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127045",
            "telephone_number": "443-449-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 328",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103816",
            "telephone_number": "301-965-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4151 Bladensburg Rd",
            "address_purpose": "LOCATION",
            "city": "Colmar Manor",
            "state": "MD",
            "postal_code": "207221928",
            "country_code": "US",
            "telephone_number": "301-699-7700",
            "fax_number": "301-779-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4940 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "480-241-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "REBECA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001320",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.